Date: Tue, 13 Jun 2000 00:49:27 -0500

Buckled Upper Pole Breast Style 410 Implant

Aesth. Plast. Surg. 23:279-281 (1999)

© 1999 by Springer-Verlag New York, Inc.

Buckled Upper Pole Breast Style 410 Implant

Presenting as a Manifestation of Capsular

Contraction

Darryl James Hodgkinson

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Abstract

Recent experience with the cohesive gel implant has shown an interesting variation of capsular contracture. Instead of spherical contraction, the [space] capsule formation around the 410 implant seems to cause a buckling of the superior pole of the implant. This buckling has been observed in four implants and presented clinically in 2 of 50 patients with a superior pole mass. The capsular contraction around the implant and the buckling are probably camouflaged by a subpectoral implantation and this presentation should be recognized by the surgeon, especially when considering placement of the cohesive gel implant in a subglandular position. Histological sections of a capsule around the implant show fragmented silicone, with a cellular reaction around the fragmented silicone.

Bryan