01-06-2006 | Original Paper
Revision operations after silicone gel breast implantation: a retrospective study
Published in: European Journal of Plastic Surgery | Issue 1/2006
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The present study discusses the number of reoperations in 10 years after silicone gel breast implantation in a cosmetically augmented group and a reconstructive group. Information was obtained from a total of 185 medical records. The aesthetic group contained 105 patients, the reconstructive group 37; 43 patients were excluded because of insufficient follow-up. The mean number of reoperations in the cosmetic group was 0.72 (SD=1.40); 67 patients had no revisions. In the reconstructive group, the mean number of reoperations was 2.59 (SD=2.03); five patients had no revisions. In the entire group of 142 patients, 72 (50.7%) had only the primary operation, 29 (20.4%) had one revision, and 41 (28.9%) had two or more revisions after breast implantation in the ten-year follow-up period (p=0.00). Reconstructive patients have a higher risk of reoperation than cosmetic patients. The most common complication in both groups was capsular contracture.