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Capsulorrhaphy for revisionary breast surgery
Paul E Chasan1, Cameron S Francis
1University of California, San Diego, CA, USA.
Aesthetic Surgery Journal
|December 17, 2008
Summary
Capsulorrhaphy with mirror-image capsulotomy effectively corrects breast implant malposition and allows for size reduction. This technique offers satisfactory results without capsular tissue excision or prolonged taping, though patients reported increased discomfort.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
Background:
- Breast implant malposition is a common complication following augmentation mammoplasty.
- Limited literature addresses effective surgical correction for implant malposition.
Purpose of the Study:
- To evaluate the efficacy of capsulorrhaphy and mirror-image capsulotomy for correcting breast implant malposition.
- To assess the utility of this technique for reducing implant pocket size during implant exchange.
Main Methods:
- A retrospective review of 75 patients undergoing capsulorrhaphy for malposition or size reduction.
- Mirror-image capsulotomy was performed to reduce tension on the capsulorrhaphy repair.
- Silicone gel-filled implants were used in all cases.
Main Results:
- Capsulorrhaphy and mirror-image capsulotomy successfully corrected implant malposition in all patients.
- No complications were reported during an average follow-up of 21 months.
- Excision of capsular tissue and prolonged taping were not required.
Conclusions:
- Capsulorrhaphy combined with mirror-image capsulotomy is a reliable technique for addressing breast implant malposition.
- The procedure facilitates breast implant size reduction effectively.
- Patients experienced greater-than-anticipated postoperative discomfort.