Abstract
I read with interest the excellent article by Bartsich et al1 in the September issue of Aesthetic Surgery Journal . The research methods were outstanding, and I congratulate the authors on an important contribution to outcomes in breast augmentation. The data presented confirm other published findings regarding cultures of ductal fluid at the time of breast surgery and also provide a good follow-up to my own article (published in 2008) regarding the relationship of capsular contracture (CC) to incision location in breast augmentation.2 As we have all seen when performing breast augmentation through a periareolar incision, there are times when milky fluid is noted in the operative field as the breast tissue is dissected. It is anatomically obvious that a periareolar incision (as compared to an inframammary incision) will transect many more ducts, and larger-diameter ducts closer to the external environment have a much greater likelihood of harboring bacterial colonies. Since …
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