Capsular flap for coverage of an exposed implant after skin-sparing mastectomy and immediate breast reconstruction
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Updated: Jun 17, 2026

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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Michael Brandstetter1, Thomas Schoeller, Petra Pülzl
1Paracelsus Medical University, Salzburg, Austria.
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|January 9, 2010
Abstract:
Native skin-flap necrosis following skin-sparing mastectomy (SSM) is treated by raising a capsular flap, formed as a consecutive physiological reaction around breast implant. Using this highly vascularised thin tissue layer as an implant coverage withdraws pressure from the defect and allocates a good background for wound healing.
