title: [Combined treatment with areola approach for capsular contracture after breast augmentation with implants].
abstract: OBJECTIVE
  To investigate the combined treatment with areola approach for capsular contracture after breast augmentation with implants.
  
  
  METHODS
  From Feb. 2005 to Jun. 2011, 94 cases (168 sides) with Baker III and IV capsular contracture after breast augmentation with implants were treated with areola approach. The implants cavity was recreated, with or without removal of capsule. The implants were reimplanted behind pectoralis major or breast at the second stage in some patients.
  
  
  RESULTS
  46 cases were followed up by clinic visit and the others were followed up by telephone for 6-37 months, with an average of 9.9 months. The capsular contracture was relapsed in 2 cases as Baker III and 1 case as Baker IV. All the other breasts got a good appearance with good soft texture and feeling. No hematoma, infection, implants rupture, breast ptosis or implant displacement happened.
  
  
  CONCLUSIONS
  Combined treatment with areola approach has a good therapeutic effect for capsular contracture after breast augmentation with implants. The breast appearance is satisfactory with low occurrence of capsular contracture.
authors.affiliation: Department of Plastic Surgery, Guangdong Provincial Second People's Hospital, Guangzhou 510317, China.
authors.forename: Sheng-Kang
authors.initials: SK
authors.lastname: Luo
authors.forename: Guang-Ping
authors.initials: GP
authors.lastname: Chen
authors.forename: Hai-Bin
authors.initials: HB
authors.lastname: Wang
authors.forename: Zhong-Sheng
authors.initials: ZS
authors.lastname: Sun
authors.forename: Xiang
authors.initials: X
authors.lastname: Xu
authors.forename: Yan-Qun
authors.initials: YQ
authors.lastname: Wu
mesh_terms: D000328:Adult; D019928:Breast Implantation / Q000009:adverse effects*; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D011183:Postoperative Complications / Q000601:surgery