Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
To the Editor,
I would like to congratulate Dr. James and colleagues for their paper in which they investigated bacterial adhesion on several implant shell materials [3]. I have a few comments related to the in vitro implication of their results.
First, former studies have investigated bacterial growth on smooth and textured implants after explantation, showing equal bacterial growth on both types of implants [2]. How do the authors explain these in vivo findings compared to their in vitro study?
Second, several studies have shown that capsular contracture occurs more often in smooth implants in comparison with textured implants [1]. Since it is suggested that bacteria might cause capsular contracture, one would expect more bacterial growth on (more) smooth surfaces. However, the present study shows the contrary.
References
Bachour Y, Bargon CA, de Blok CJM et al (2018) Risk factors for developing capsular contracture in women after breast implant surgery: a systematic review of the literature. J Plast Reconstr Aesthet Surg 71:e29–e48
Jacombs A, Tahir S, Hu H et al (2014) In vitro and in vivo investigation of the influence of implant surface on the formation of bacterial biofilm in mammary implants. Plast Reconstr Surg 133:471e–480e
James GA, Boegli L, Hancock J et al (2018) Bacterial adhesion and biofilm formation on textured breast implant shell materials. Aesth Plast Surg. https://doi.org/10.1007/s00266-018-1234-7
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
I disclose no conflict of interest.
Rights and permissions
About this article
Cite this article
Bachour, Y. Response to “Bacterial Adhesion and Biofilm Formation on Textured Breast Implant Shell Materials”. Aesth Plast Surg 45, 353 (2021). https://doi.org/10.1007/s00266-018-1289-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00266-018-1289-5