THE EFFECT OF BIOCELL TEXTURING AND POVIDONE-IODINE IRRIGATION ON CAPSULAR CONTRACTURE AROUND SALINE-INFLATABLE BREAST IMPLANTS

We performed a prospective, concurrently controlled, and blinded 4-yea r clinical study on 60 patient volunteers to determine the effects of two independent variables, McGhan's Biocell texturization and Betadine antibacterial irrigation, on the incidence of fibrous capsular contra cture around saline-inflatable implants following retromammary augment ation. Each patient was randomly assigned both a textured and a smooth implant and both saline and Betadine irrigation so that each patient served as her own control. The textured devices irrigated with Betadin e experienced an overall incidence of contracture of only 4 percent co mpared with 50 percent for the smooth devices irrigated with saline so lution. The Betadine-irrigated devices in general had a lower incidenc e of contracture than the saline-irrigated devices, and the textured-s urface devices in general had a lower incidence of contracture than th e smooth devices. Antibacterial irrigation and surface texturization m ay work in a cumulative manner to reduce the early incidence of capsul ar contracture.