Abstract
Background: Capsular contracture is common in breast augmentation and reconstruction surgery. The present systematic review discusses the safety of textured and smooth implants in thesubmuscular position. Methods:A literature search was conducted on PubMed and EMBASE from inception untilJune 2020. The primary outcome was reduction of capsular contracture(Baker grade);others includedtime of capsular contracture onset, implant position/rupture rate/surface, hematoma/seroma risk, surgeon assessment and patient satisfaction. A total of7731 patients were includedfrom six publications. Results: The overall risk rate for capsular contracture increased from 7.6 to25% in 10 years. The capsular contracture rates in textured and smooth implants were3-14% and 6-20%, respectively, and no significant difference between implants was observed when the implants wereplaced submuscularly. Submuscular placement and textured implants also reduced theincidenceof other complications. Conclusion: This systematic review suggeststhat appropriate placement reduces capsular contracture rate, irrespective of implant surface.
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