Capsular Contracture and Incision: Correlation and Influence in Submuscular Breast Augmentation With Polytech® Microtextured Implants

Capsular contracture (CC) remains the most common complication and the primary cause of reoperation following breast augmentation surgery. It is a complication associated with the use of implants, although various factors may influence its likelihood of development. Surgical technique and the use of prophylactic strategies are significantly related with its onset. This article thoroughly examines the influence of the surgical incision on the development of CC, based on our four-year experience with 127 dual-plane breast augmentations using Polytech® microtextured implants. Our study protocol divided patients into two groups based on the type of incision: inframammary and periareolar. We assessed the incidence rate of CC in both groups: the overall incidence of CC in the 127 patients who underwent dual-plane breast augmentation was 8.66%, with 11 unilateral cases. Our retrospective study therefore revealed that the periareolar incision is significantly associated with a higher risk of CC. These results have been discussed relating them to the current licterature.