title: Correction of capsular contracture by insertion of a breast prosthesis anterior to the original capsule and preservation of the contracted capsule: technique and outcomes.
abstract: BACKGROUND
  This study aimed to explore the treatment of capsular contracture after augmentation mammaplasty by insertion of a breast prosthesis anterior to the original capsule.
  
  
  METHODS
  Through transaxillary or submammary incisions and small capsular incisions, 14 patients (18 breasts) with Baker grades 3 and 4 capsular contractures had their breast implants removed and repositioned anterior to the primary capsule. The primary capsules were preserved.
  
  
  RESULTS
  Satisfactory results (Baker 1) were achieved for all 14 patients during the 29-month follow-up period.
  
  
  CONCLUSIONS
  The described method offers numerous advantages for the treatment of capsular contracture. It is minimally invasive and performed through a small axillary or submammary incision. It is simple, offers little trauma, has less bleeding, and results in a good outcome based on our follow-up assessment in the medium term. It is our preferred method for the treatment of capsular contracture.
authors: Department of Plastic Surgery, Peking University Third Hospital, Beijing, 100083, China.
authors: Hongyu
authors: H
authors: Xue
authors: Siew Yi
authors: SY
authors: Lee