The Krakatau syndrome; a late complication of retroglandular mammary augmentation

A late complication of retroglandular mammary augmentation is described, in which severe fibrous capsular contraction with calcification of the capsule causes pressure atrophy of the centre of the mammary gland and sometimes even atrophy of the underlying pectoralis major muscle. The complication was observed in six patients. Two representative cases are described and the treatment is discussed.