Original ArticleLocal Complications After Cosmetic Breast Implant Surgery in FinlandKulmala, Ilona MSc*; McLaughlin, Joseph K. PhD†‡; Pakkanen, Matti MD§; Lassila, Kai MD§; Hölmich, Lisbet R. MD¶**; Lipworth, Loren ScD†‡; Boice, John D. Jr ScD†‡; Raitanen, Jani MSc*; Luoto, Riitta MD* Author Information From the *Tampere School of Public Health, Tampere University, Finland; †International Epidemiology Institute, Rockville, Maryland; ‡Vanderbilt University Medical Center, Vanderbilt–Ingram Cancer Center, Nashville, Tennessee; §Hospital Siluetti, Suomen Kirurgipalvelu Oy, Helsinki, Finland; ¶Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark; and the **Department of Plastic Surgery, Herlev University Hospital, Denmark. Received March 2, 2004 and accepted for publication, after revision, April 6, 2004. Supported by the International Epidemiology Institute, which received an unrestricted research grant from the Plastic Surgery Educational Foundation of the American Society of Plastic Surgeons. Reprints: Ilona Kulmala, Tampere School of Public Health, 33014 Tampere University, Finland. Tel: 35832157799; fax: 35832156057; E-mail: [email protected] Annals of Plastic Surgery: November 2004 - Volume 53 - Issue 5 - p 413-419 doi: 10.1097/01.sap.0000131275.62449.c8 Buy Metrics AbstractIn Brief Concerns regarding potential health effects of silicone breast implants have recently shifted from long-term illnesses to postoperative local complications. In this study, occurrence of local complications and treatment procedures were evaluated in a population of 685 Finnish women who received cosmetic silicone breast implants between 1968 and 2002. Patient records were abstracted, and additional information was gathered using a structured questionnaire that was mailed to 470 of the women in the cohort. Overall, 36% of the women had 1 or more diagnoses of postoperative complications in their medical records. The most common complication was capsular contracture, occurring in 17.7% of women and 15.4% of implantations. Other complications were more rare. The majority of women (74%) needed no postoperative treatment. However, 22% of women required 1 or more surgical procedures after the primary implantation. Most of the women were satisfied with the implantation, but only 40% considered the preoperative information on possible risks related to implantation as sufficient. With respect to the occurrence of local complications following cosmetic breast implantation, the findings of this study are consistent with previous studies. Frequencies of complications were remarkably similar in medical records and self-reports. Medical records of 685 Finnish women with cosmetic breast implants were reviewed along with 399 returned questionnaires from the same cohort. Capsular contracture was diagnosed in 17.7%; asymmetry, malposition, or deformation in 8.9%; and wound or skin problems in 2.8%. © 2004 Lippincott Williams & Wilkins, Inc.