"False bursa" concept in augmentation mammaplasty

Natural feeling breasts are a primary objective to be achieved in the augmentation mammaplasty procedure. Rather than attempt to totally prevent a fibrous capsule from forming about the implant, it should be converted into a larger "false bursa" containing a freely mobile soft implant of modern design with no fixation patches. This relationship must be maintained through many months of the postoperative period to ensure a lasting result. Failure to achieve the false bursa concept results in a tight immobile noncompressible breast that has an unnatural feel.