[Capsular contracture in breast augmentation with textured versus smooth mammary implants: a systematic review].

OBJECTIVE: To evaluate the incidence of capsular contracture in breast augmentation with textured versus smooth mammary Implants.

METHODS: Randomized controlled trials (RCTs) and clinical controlled trials (CCTs) were collected from Medline, Embase from May 1966 to May 2006, cochrane library (Issue 2, 2005), and CBM disc from May 1979 to May 2006. We handsearched Chinese Journal of Plastic Surgery (from establishment to May 2006) and Journal of Plastic and Reconstructive Surgery of America (from establishment to May 2006). RCTs were included. Data were extracted by two reviewers with designed extraction form RevMan. 4.2.8 software was used for data analysis.

RESULTS: Six RCTs were included. The combined results of meta analysis showed that patients with textured implants had a lower tendency to develop capsules contracture than those with smooth implants either at one year or ten years after the breast augmentation.

CONCLUSIONS: Compared with smooth mammary implants, textured surface implants significantly reduce the incidence of capsular contracture after breast augmentation.