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The Aesthetic Surgery Education and Research Foundation

Optimizing Breast Pocket Irrigation: The Breast Implant–Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) Era Print

Eric J. Culbertson, MD; Christina Felder-Scott, BS; Anand K. Deva,  MBBS, MS, FRACS; David E. Greenberg, MD; and William P. Adams Jr, MD

Aesthetic Surgery Journal 
2019, 1–7

Background: Specific antimicrobial breast pocket irrigations have been proven over the past 20 years to reduce the incidence of capsular contracture by a factor of 10, and the emergence of breast implant–associated anaplastic large cell lymphoma (BIA-ALCL) and its link to bacteria/technique has cre-ated renewed interest in different antimicrobial breast pocket preparation agents. Our previous studies have identified that both Betadine-containing and non-Betadine-containing antimicrobial irrigations provide excellent broad-spectrum bacterial coverage. The current science of BIA-ALCL has implicated the Gram-negative microbiome as a key in pathogenesis.

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