J Breast Dis.  2020 Dec;8(2):115-120. 10.14449/jbd.2020.8.2.115.

Capsular Contracture Rates in Augmentation Mammaplasty: Comparison of Round vs Anatomical Breast Implants


Capsular contracture is a major cause of poor postoperative satisfaction in augmentation mammaplasty. It is unclear whether round or anatomical textured breast implants lead to differences in the rates of capsular contracture. Accordingly, the objective of this study was to compare capsular contracture rates between round and anatomical textured breast implants.
A total of 1,282 cases (2,564 breasts) of augmentation mammaplasty using textured type implants, performed at MD clinic between January 2012 and December 2015, were retrospectively reviewed. A total of 703 cases used round textured implants while 579 used anatomical textured implants. The median follow-up period for the round textured implant group was 9 months, and 7 months for the anatomical textured group.
The overall capsular contracture rates in the first year was 2.0% in the round textured group and 1.5% in the anatomical textured group (p=0.609). Capsular contracture rates in the first year in those who underwent primary surgery were 1.6% in the round textured group and 1.3% in the anatomical textured group (p=0.187). The rates in those who underwent revision surgery were 5.2% in the round textured group and 2.6% in the anatomical textured group (p=0.178). Conclusion: Although the risk for capsular contracture in the anatomical textured groups appeared to be slightly lower than in the round textured groups, the difference was not significant. Further studies with longer follow-up periods are needed to assess potential differences.


Breast implants; Implant capsular contracture; Mammaplasty; Silicone gels
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