Breast capsulorrhaphy revisited: a simple technique for complex problems.
Implant malposition without capsular contracture is a common problem that has received little attention. Malposition of the implant in the inferior, lateral, or medial direction can be corrected predictably and relatively simply with capsulorrhaphy and mirror-image selective capsulotomy. In addition, capsulorrhaphy can be used to create a smaller pocket to preserve anterior projection and prevent lateral and inferior displacement when changing to a smaller implant. Eleven patients underwent capsulorrhaphy for either implant malposition or implant size reduction. Improved appearance and symmetry of the breast was accomplished in all patients without increased complications.
Chasan
Paul E
PE
Scripps Memorial Hospital, University of California, San Diego Medical Center, La Jolla, Calif, USA. info@drchasan.com
D000328:Adult; D001458:Bandages; D019928:Breast Implantation / Q000009:adverse effects; D018427:Breast Implants; D003286:Contracture / Q000601:surgery; D004867:Equipment Design; D005260:Female; D006801:Humans; D008875:Middle Aged; D011182:Postoperative Care; D011183:Postoperative Complications / Q000601:surgery; D011187:Posture; D012086:Reoperation / Q000379:methods*; D013536:Suture Techniques; D016896:Treatment Outcome