Adjuvant radiotherapy as a risk factor for developing capsular contracture in women after breast implant surgery

I wish to congratulate Bachour and colleagues for their article1 in which they investigated risk factors for developing capsular contracture in women after breast implant surgery in a systematic review of the literature. Longer duration of follow-up, breast reconstructive surgery in patients with a history of breast cancer, subglandular implant placement, postoperative hematoma, and a textured implant surface were found to be a presumptive increased risk factors. However, authors did not take adjuvant radiotherapy into consideration as a risk factor in breast cancer patients.