Five Years Experience of Breast Augmentation Using Silicone Gel Prostheses with Emphasis on Capsule Shrinkage

B. Brandt Department of Plastic & Reconstructive Surgery, Diakonissestiftelsens Hospital, Copenhagen, Denmark; Department of Pathology, Frederiksberg Hospital, University Institute of Forensic Medicine, Copenhagen, Denmark

V. Breiting Department of Plastic & Reconstructive Surgery, Diakonissestiftelsens Hospital, Copenhagen, Denmark; Department of Pathology, Frederiksberg Hospital, University Institute of Forensic Medicine, Copenhagen, Denmark

L. Christensen Department of Plastic & Reconstructive Surgery, Diakonissestiftelsens Hospital, Copenhagen, Denmark; Department of Pathology, Frederiksberg Hospital, University Institute of Forensic Medicine, Copenhagen, Denmark

M. Nielsen Department of Plastic & Reconstructive Surgery, Diakonissestiftelsens Hospital, Copenhagen, Denmark; Department of Pathology, Frederiksberg Hospital, University Institute of Forensic Medicine, Copenhagen, Denmark

J. L. Thomsen Department of Plastic & Reconstructive Surgery, Diakonissestiftelsens Hospital, Copenhagen, Denmark; Department of Pathology, Frederiksberg Hospital, University Institute of Forensic Medicine, Copenhagen, Denmark

Abstract

The results of a five-year retrospective study on breast augmentation using silicone gel-filled prostheses are presented. A total of 115 breasts (45%) out of 254 developed capsules of type II-IV. The incidence in the hypoplasia group was 46%. The capsules were treated with closed and/or open capsulotomy. Biopsies showed fibrous capsules containing alcianophilic droplets, suggesting the presence of silicone in the tissue. The authors find the above incidences to be unacceptably high, and as the treatment is costly, we advocate a more restrictive approach towards operations for mammary hypoplasia.

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Five Years Experience of Breast Augmentation Using Silicone Gel Prostheses with Emphasis on Capsule Shrinkage

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Five Years Experience of Breast Augmentation Using Silicone Gel Prostheses with Emphasis on Capsule Shrinkage

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