Evidence map›Paper›PMID 39681688›Full record

ArticleAesthetic plastic surgery2025

Capsular Contracture After Breast Augmentation: Our Approach to Prevent Reoccurrence with Combined Total Capsulectomy and Implantation of Motiva Ergonomix® Implants.

Pietro Luciano Serra, Marta Mariani, Mariachiara Fabbri, Vittoria Murone, Benedetta Scucchi, Filippo Contessi, Iulia Elena Marin, Chiara Botti, Giovanni Botti

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Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Pietro Luciano SerraPlastic Surgery Unit, Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari University Hospital Trust, Viale San Pietro 43, 07100, Sassari, Italy. pietro_serra@hotmail.it.ORCID 0000-0002-2122-6493
Marta MarianiDepartment of Plastic and Reconstructive Surgery, Sacred Heart Catholic University, IRCCS A. Gemelli University Polyclinic Foundation, Rome, Italy.
Mariachiara FabbriDepartment of Plastic and Reconstructive Surgery, Sacred Heart Catholic University, IRCCS A. Gemelli University Polyclinic Foundation, Rome, Italy.
Vittoria MuronePlastic Surgery Resident Residency Program in Plastic Surgery, Azienda Ospedaliera Universitaria Federico II di Napoli, Via Sergio Pansini 5, 80131, Napoli, Italy.
Benedetta ScucchiSection of Plastic Surgery, Department of Medical and Surgical Specialities, University of Padova, Padova, Italy.
Filippo ContessiClinic of Plastic and Reconstructive Surgery, Ospedale Santa Maria della Misericordia, 33100, Udine, Italy.
Iulia Elena MarinDepartment of Plastic Reconstructive Surgery and Microsurgery, Careggi University Hospital, 50134, Firenze, Italy.
Chiara BottiVillaBella Clinic, Via Europa, 55, 25087, Salò, BS, Italy.
Giovanni BottiVillaBella Clinic, Via Europa, 55, 25087, Salò, BS, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast augmentation is the second most common aesthetic surgery worldwide. Capsular contracture, a prevalent complication which affects up to 30% of patients post-surgery, often leads to further necessary surgeries.

objectivesThis study investigates the effectiveness of total capsulectomy combined with Motiva Ergonomix® implant replacement in resolving capsular contracture and minimizing recurrence rates.

methodsWe conducted a retrospective study of 1067 patients and enrolled 51 women with capsular contracture post-breast augmentation. Patients were treated between 2014 and 2023 in a single center by three surgeons. Capsular contracture severity was graded using Baker's classification. Surgical interventions included total capsulectomy and implant replacement, using various incision techniques and changes in implant anatomical planes. Patients were followed up for a minimum of 12 months to a maximum of 9 years.

resultsA total of 51 patients with grade III or IV capsular contracture underwent revisional surgery, involving the implantation of 102 Motiva Ergonomix® prostheses; 77 explanted implants resulted intact, 15 exhibited silicone bleeding, and 10 showed ruptured. Capsular contracture recurrence was observed in only 1.96% of cases during the follow-up period.

conclusionsThe combination of total capsulectomy and implantation of Motiva Ergonomix® implants significantly reduces the recurrence rate of capsular contracture. Despite the study's limitations, including its single-center design and a small sample size, our results suggest that this approach is a viable and effective solution to manage this common complication in breast augmentation patients. Further multicentric studies are recommended to validate these results. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors https://www.springer.com/00266 .

Indexed as

Breast ImplantationBreast ImplantsImplant Capsular ContractureMammaplastyAdultCohort StudiesEstheticsFemaleFollow-Up StudiesHumansMiddle AgedRecurrenceReoperationRetrospective StudiesRisk AssessmentSecondary PreventionBreast augmentationCapsular contractureErgonomix implants

Identifiers

PMID39681688

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.