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Capsular contracture around saline-filled fine textured and smooth mammary implants : a prospective 7.5-year follow-up . In a previous prospective randomized clinical study comparing in the same patient textured and smooth saline-filled mammary implants ( Biocell ) with large pore size ( 300 to 600 microm ) , we saw no difference in capsular contracture . This study was undertaken in a similar way to compare capsular contracture around smooth and textured saline-filled prostheses with pores of small size . During a period of 7.5 years , the breast hardness was followed up , and at the end of the study patient satisfaction was evaluated . Twenty healthy women with a mean age of 30 years were operated on for breast augmentation . Two surgeons performed all operations in a standardized way . Each patient received subglandularly a Siltex textured saline-filled prosthesis with a pore size of 30 to 70 microm in one breast , and a smooth saline-filled prosthesis in the other . The hardness of the breasts was evaluated after 0.5 , 1 , and 7.5 years using Baker grading and applanation tonometry . Eighteen patients completed 1-year and 7.5-year follow-up . Two breasts with smooth prostheses were contracted after 6 months ( Baker III or IV ) . After 1 year , four patients with smooth prostheses and one with a textured prosthesis had capsular contracture ( p = 0.34 ) . Seven and one-half years after surgery , six patents with smooth and four with textured implants had contracture ( p = 0.66 ) . On two patients with smooth prostheses and one patient with a textured prosthesis , the capsule around the implant hardened between 6 and 12 months . Between 1 year and 7.5 years , three breasts with smooth and textured implants contracted and one with a textured implant softened.The patients reported on a Visual Analogue Scale ( 1 to 10 ) the impact of the augmentation on their quality of life to be 9 +/- 1 . Four patients preferred the breast with the smooth prosthesis , three preferred the breast with the textured prosthesis , and the others found both breasts equal . This study showed no significant difference of contracture with smooth versus fine textured implants . The majority of the patients preferred the smooth implants . The patients reported that the breast augmentation had had an extremely high impact on their quality of life .
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Intervention_Pharmacological
saline-filled prostheses
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Intervention_Physical
subglandularly a Siltex textured saline-filled prosthesis
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Intervention_Physical
smooth saline-filled prosthesis in the other
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Intervention_Physical
implants
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Outcome_Physical
The hardness of the breasts
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Outcome_Other
Baker grading and applanation tonometry
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Outcome_Physical
capsular contracture
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Outcome_Physical
contracture
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Outcome_Physical
capsule around the implant hardened
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Outcome_Other
smooth and textured implants contracted
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Outcome_Other
one with a textured implant softened.The
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Outcome_Other
quality of life
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Outcome_Other
significant difference
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Outcome_Physical
contracture
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Outcome_Other
preferred the smooth implants
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Participant_Sample-size
Twenty
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Participant_Condition
healthy
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Participant_Sex
women
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Participant_Age
mean age of 30 years
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Participant_Condition
breast augmentation
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Participant_Sample-size
Eighteen patients