Br. Burkhardt et Cp. Demas, THE EFFECT OF SILTEX TEXTURING AND POVIDONE-IODINE IRRIGATION ON CAPSULAR CONTRACTURE AROUND SALINE INFLATABLE BREAST IMPLANTS, Plastic and reconstructive surgery, 93(1), 1994, pp. 123-128
A prospective, controlled, and blinded clinical study was performed on
56 patient volunteers to determine the effects of two independent var
iables-the Siltex textured inflatable implant and povidone-iodine irri
gation-on the incidence of fibrous capsular contracture following retr
omammary augmentation. Each patient was randomly assigned both texture
d and smooth implants and povidone-iodine and saline irrigation, so th
at each patient served as her own control. The Siltex devices experien
ced an incidence of class III-IV contracture of only 2 percent, as com
pared with an incidence of 40 percent around the smooth devices. Most
patients, however, preferred the smooth devices despite the higher con
tracture incidence because the Siltex device was more easily palpable.
Povidone-iodine did not reduce the final incidence of contracture. It
appeared to delay the onset of contracture, but not with statistical
significance.