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Elizabeth J Hall-Findlay, Commentary on: The Prevalence and Histological Characteristics of the Double Capsule Phenomenon in Breast Augmentation With Implants, Aesthetic Surgery Journal, Volume 45, Issue 1, January 2025, Pages 44–47, https://doi.org/10.1093/asj/sjae195
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This paper from Denmark is an excellent prospective review on the incidence of double capsule formation on breast implants.1
Although we are all now aware that double capsules are more likely to occur with the more aggressively textured implants, we still do not understand the pathogenesis of double capsule formation. This Danish group has already given us excellent histological assessment tools for breast implant capsules, and they continue to further our understanding of double capsules.2-6
The study included patients who had previously undergone breast augmentation with implants and were scheduled for implant exchange or removal between October 2019 and October 2023 at 5 Danish plastic surgery clinics in Copenhagen. The purpose of the study was to quantify the prevalence of double capsule formation between different implant surface textures and to explore the histological differences between the inner and outer capsules from breast implant capsule biopsies.