ArticlePlastic and reconstructive surgery. Global open2016
Open Capsulotomy: An Effective but Overlooked Treatment for Capsular Contracture after Breast Augmentation.
Article in Plastic and reconstructive surgery. Global open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
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Who cites it
24 citing papers in PubMed.
- Capsulectomy Following Breast Implant Removal: Evidence-Based Indications and a Framework for Clinical Decision-Making.Aesthetic plastic surgery · 2026Review
- High-Riding Saline Breast Implants: Mechanical Malposition Rather Than Capsular Contracture? A 23-Year Single-Surgeon Experience and Proposed Refinement of Baker Grade III.Aesthetic plastic surgery · 2026Article
- The Effects of Ovine-Derived Reinforced Tissue Matrix Surrounding Silicone-Based Implants in a Rat Prepectoral Reconstruction Model.Bioengineering (Basel, Switzerland) · 2026Article
- Understanding Capsular Contracture: Mechanisms, Management, and Patient Outcomes in Implant-based Breast Augmentation and Reconstruction.Plastic and reconstructive surgery. Global open · 2026Article
- Review
- Capsular Contracture After Breast Augmentation: Our Approach to Prevent Reoccurrence with Combined Total Capsulectomy and Implantation of Motiva Ergonomix® Implants.Aesthetic plastic surgery · 2025Article
- The Double Capsule Phenomenon in a Case Series and its Relationship with the Macro-Textured Breast Implant: Invited Commentary.Aesthetic plastic surgery · 2025Article
- Surgical Management of Breast Capsular Contracture-A Multi-institutional Data Analysis of Risk Factors for Early Complications.Aesthetic plastic surgery · 2025Article
- Complications of Aesthetic and Reconstructive Breast Implant Capsulectomy: An Analysis of 7486 Patients Using Nationwide Outcomes Data.Aesthetic surgery journal · 2024Article
- Use of Hydrosurgical Debridement System for Silicone Gel Removal after Breast Implant Rupture.Plastic and reconstructive surgery. Global open · 2024Article
- Impact of post-operative infection on revision procedures in breast reconstruction: A marketscan database analysis.Journal of plastic, reconstructive & aesthetic surgery : JPRAS · 2024Article
- Implant-based breast surgery and capsular formation: when, how and why?-a narrative review.Annals of translational medicine · 2023Review
- The Keller Funnel, Capsular Contracture, and Conflict of Interest: A Review.Annals of plastic surgery · 2023Review
- The Case Against Betadine Irrigation of Breast Implant Pockets.Aesthetic plastic surgery · 2023Article
- Keller Funnel Efficacy in "No Touch" Breast Augmentation and Reconstruction: A Systematic Review.Plastic and reconstructive surgery. Global open · 2022Article
- Current Concepts in Capsular Contracture: Pathophysiology, Prevention, and Management.Seminars in plastic surgery · 2021Review
- Revision Breast Augmentation.Seminars in plastic surgery · 2021Review
- Concerns Regarding the Use of Acellular Dermal Matrix at the Time of Primary Breast Augmentation.Annals of plastic surgery · 2021Article
- A Rebuttal of Antibiotic Irrigation as a Method to Reduce Risk of Capsular Contracture and Breast Implant-Associated Anaplastic Large-Cell Lymphoma.Annals of plastic surgery · 2020Article
- Review
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe prevailing theory for capsular contracture after breast augmentation is a subclinical capsular infection. A capsulectomy, site change, and implant replacement are recommended. An open capsulotomy leaves the capsule in the patient. Theoretically, such a procedure would be ineffective because it does not remove the infected tissue. Recurrences occurred frequently in women treated in the 1970s when leaky silicone gel implants were in use. Open capsulotomy has not been studied in women implanted with third-generation devices.
methodsSeventy-five consecutive women with Baker III/IV capsular contractures after breast augmentation treated with open capsulotomies between 1996 and 2016 were retrospectively evaluated. The original implants were usually saline-filled (72.2%). Replacements were all smooth and round, and 92.6% were also saline-filled.
resultsSeventeen women (22.7%) developed a recurrent capsular contracture. Two patients (2.7%) experienced a second recurrence. Patients with ruptured silicone gel implants (n = 13) had a significantly greater risk of recurrence (
conclusionsOpen capsulotomy is a safe and effective treatment that avoids the additional morbidity and cost of a capsulectomy. The findings challenge the infected biofilm theory of capsular contracture. Open capsulotomy deserves reconsideration by plastic surgeons.
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Registered trials
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