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Capsular contracture is an inflammatory reaction caused by fibrous tissue formation around a breast implant. This results in a contracted breast mound. A simple conservative surgical technique that takes into consideration the pathogenesis and risk factors for capsular contracture is described. Our aim is to reduce complications associated with capsular contracture and minimize the detrimental effect on breast aesthetics. Between 2006 and 2008, 46 patients underwent reduction mammaplasty. There were 29 unilateral cases and 17 bilateral cases. The average age was 49 years and average follow-up was 18 months. All patients were interviewed pre-operatively and post-operatively. The indications for capsulotomy were patient choice and surgical complications. Patients were seen for physical examination and photography and had a breast mound measurement pre-operatively and at follow-up. Patients were queried on capsular contracture, nipple sensation, and overall satisfaction. Breast mound size was measured before surgery and at follow-up. Twenty-seven patients were satisfied and 19 were dissatisfied. Six patients had complications. Nineteen patients had capsulectomies and seven had needle-capsulotomies. The average age was 47.2 years (range, 27-68) and average follow-up was 12 months (range, 6-18). Forty-four patients reported no capsular contracture and three patients had mild contracture. The average reduction in breast mound height was 2.2 cm. The patients who were satisfied with their outcome were younger (48.2 versus 52.5 years; p = 0.04) and had fewer previous capsulotomies (0 versus 2; p = 0.06). A simple surgical technique that takes into consideration the pathogenesis and risk factors for capsular contracture results in a successful reduction mammoplasty.A new poll shows that many Republicans are now saying that it would be better to move toward a single-payer system to provide health care coverage. Fox News released the results of a poll conducted in conjunction with the Robert Wood Johnson Foundation on Thursday. The poll indicated that a majority of Republicans and some independents, but not Democrats, said they would be in favor of moving toward a single-payer system to provide health care coverage. According to the poll, a majority of independents, 62 percent, 4bc0debe42
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