G. Lemperle et K. Exner, EFFECT OF CORTISONE ON CAPSULAR CONTRACTURE IN DOUBLE-LUMEN BREAST IMPLANTS - 10 YEARS EXPERIENCE, Aesthetic plastic surgery, 17(4), 1993, pp. 317-323
Two groups of patients are compared with respect to capsular contractu
re after insertion of silicone breast prostheses. Six hundred seventy
four women received single-lumen gel prostheses and 700 received doubl
e-lumen prostheses with cortisone. The addition of 12.5 mg of predniso
lone to double-lumen prostheses diminished capsular contracture (Baker
II to IV) dramatically; in patients with simple augmentation from 19%
to 4.9%, in patients with subcutaneous mastectomy from 54% to 14.9%,
and in patients with breast reconstruction from 64% to 24.4%. The use
of double-lumen implants has three distinct advantages: (1) There is n
o bleeding and therefore no contact of the body with the silicone gel.
(2) There is no danger of ruptured implants, even if the outer shell
shows leakage. (3) If prednisolone is administered, capsular contractu
re is prevented to a significant degree.