Capsular flaps for the management of malpositioned implants after augmentation mammoplasty.
Among the reasons for reoperation after augmentation mammaplasty is the malpositioned implant, especially a lowered inframammary fold or symmastia, which is difficult to repair. The peri-implant capsule, a physiologic response to a foreign body, is naturally formed and suitable for use as a flap because of its high vascularity. In addition, it is sufficiently tough for suspension of the implant. The authors introduce the idea that the capsular flap is very useful for the correction of symmastia or a lowered inframammary fold. In such situations, the capsular flaps are used to prevent migration of the implant after raising of the inframammary fold or defining of the midline with capsulorrhaphy. This technique successfully corrected the malpositioned implants in this study, and all the patients were satisfied. There was no recurrence of a lowered inframammary fold or symmastia. These findings suggest that the capsular flap should be considered a safe and effective option for the management of malpositioned implants.
Yoo
Gyeol
G
Department of Plastic Surgery, College of Medicine, The Catholic University of Korea, # Yeouido-dong, Yeoungdeungpo-gu, Seoul, Korea.
Lee
Paik-Kwon
PK
D000328:Adult; D018427:Breast Implants / Q000009:adverse effects*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D017060:Patient Satisfaction; D011475:Prosthesis Failure; D012086:Reoperation; D020034:Silicone Gels; D013524:Surgical Flaps; D016896:Treatment Outcome
D020034:Silicone Gels