Subpectoral and Precapsular Implant Repositioning Technique: Correction of Capsular Contracture and Implant Malposition

Lee HK, Jin US, Lee YH (Image Plastic Surgery Clinic, Seoul, Republic of Korea; Seoul Natl Univ Hosp, Seoul, Republic of Korea) Aesth Plast Surg 35:1126-1132, 2011^§

Abstract

Background

Although capsule formation is a natural-healing process following breast augmentation using implants, a contracted capsule around a poorly positioned implant can act as an obstacle during the corrective procedure to reposition the implant. The ideal treatment of capsular contracture is removal of the capsule and covering the implant with a healthy envelope without scar tissue. However, total capsulectomy in the submuscular space may be difficult, especially if the capsule is firmly attached to the chest wall. This situation may require a highly skilled technique because aggressive capsulectomy could injure the intercostal muscles and vasculature and cause further complications such as pneumothorax. Therefore, the authors have developed a new, less traumatic method of leaving the capsule behind the new implant.

Method

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