Allergan Natrelle Implant CC rate? (Photo)

Question

In doing my research for getting breast implants and choosing between the different types, it seems as though allergan is the most popular but I’ve looked at the data myself online and it shows that mentor and sientra have much lower capsular contracture rates at about 8-9% while allergan implants have 18%. Is this true? Does that mean that choosing allergan implants has double the risk for capsular contracture? Please help me assess this data!

Oliver Chang, MD · Answer

The paper you referenced with the 18% was published from 2014 and that they collected data from 10 years prior to that (meaning 2004 - when implants were also all much weaker versus now). Implants have evolved a lot and mistakes from their past learned resulting in products / materials more improved and even more as time goes on. Not sure if there is any new data out yet, but in my practice of 10+ years of using mainly Allergan (I have used many Mentor and some Sientra) - I would say my capsular contracture rate is less than 2-5%. Motiva implants that are just out now have a very mild texture to the lining that is supposed to reduce capsular contracture but otherwise amongst the other implants - therefore I would say they are all very similar - Mentor, Sientra, Allergan - so, capsular contracture rates should and would ideally be tied to the surgeon's experience / technique / expertise. Bacterial growth / infection, bleeding / hematoma, contamination etc are many factors that contribute to capsule formation leading to contracture versus just what company / material the implant is made of. Discuss with your surgeon these things and ask questions (esp about their cap contract rate and other complications).

Gerald Minniti, MD, FACS · Answer

CC rates are posted because they are collected by the implant companies, like all other complications that the FDA are interested in. The reality is that capsular contracture is a function of the surgery and post surgical care, a function of the surgeon. Surgeons that endeavor in lowering complications rates will do the following things: help you choose an appropriate sized implant, use an inframammary incision for implant insertion, perform surgery only with an 'electrocautery' and not blunt dissection, use full strength Betadine to irrigate the implant pocket prior to implant delivery, and deliver the implant with a funnel device. After surgery, they will write prescriptions for antibiotics to be taken whenever you undergo future procedures like teeth cleanings and Pap smears.

Ronald J. Edelson, MD · Answer

Take all capsular contracture data with a grain of salt. We still don’t know much about what causes capsular contracture or how to reliably prevent it. It’s a risk associated with silicone implants of any type

Allergan Natrelle Implant CC rate? (Photo)

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