title: Versatility of capsular flaps in the salvage of exposed breast implants.
abstract: Breast implant exposure due to poor tissue coverage or previous irradiation represents a surgical challenge both in the reconstructive and aesthetic plastic surgery practice. In case of implant extrusion or incipient exposure, the commonly suggested strategies, such as targeted antibiotic therapy, drainage and lavage of the cavity, fistulectomy, and primary closure, may be ineffective leading the surgeon to an unwanted implant removal or to adopt more invasive flap coverage procedures. Breast implant capsule, in its physiological clinical behavior, can be considered as a new reliable source of tissue, which can be used in a wide range of clinical situations. In our hands, capsular flaps proved to be a versatile solution not only to treat breast contour deformities or inframammary fold malpositions but also to salvage exposed breast implants. In this scenario, the use of more invasive surgical techniques can be avoided or simply saved and delayed for future recurrences.(Plast Reconstr Surg Glob Open 2015;3:e340; doi:10.1097/GOX.0000000000000307; Published online 30 March 2015.).
authors.affiliation: Division of Plastic, Reconstructive and Aesthetic Surgery, Campus Bio-Medico University of Rome, Rome, Italy.
authors.forename: Beniamino
authors.initials: B
authors.lastname: Brunetti
authors.affiliation: Division of Plastic, Reconstructive and Aesthetic Surgery, Campus Bio-Medico University of Rome, Rome, Italy.
authors.forename: Stefania
authors.initials: S
authors.lastname: Tenna
authors.affiliation: Division of Plastic, Reconstructive and Aesthetic Surgery, Campus Bio-Medico University of Rome, Rome, Italy.
authors.forename: Barbara
authors.initials: B
authors.lastname: Cagli
authors.affiliation: Division of Plastic, Reconstructive and Aesthetic Surgery, Campus Bio-Medico University of Rome, Rome, Italy.
authors.forename: Tiziano
authors.initials: T
authors.lastname: Pallara
authors.affiliation: Division of Plastic, Reconstructive and Aesthetic Surgery, Campus Bio-Medico University of Rome, Rome, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Campa
authors.affiliation: Division of Plastic, Reconstructive and Aesthetic Surgery, Campus Bio-Medico University of Rome, Rome, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Persichetti