Successful Salvage of Exposed Breast Implant Using a Myocapsular Flap: A Rare Case Report

Breast implant exposure is an uncommon but significant complication in aesthetic and reconstructive breast surgery. Salvage procedures aim to restore soft-tissue coverage while minimizing morbidity. The myocapsular flap offers vascularized tissue already present in the operative field, providing a potential alternative to more complex reconstructive options. A 37-year-old woman with a prior augmentation mastopexy underwent secondary mastopexy with implant exchange. Six weeks later, she developed wound dehiscence, localized infection, and partial left implant exposure. Intravenous antibiotics were initiated. Under general anesthesia, the implant was removed, the pocket irrigated and debrided, and an inferomedial rectangular myocapsular flap elevated and transposed to cover the defect. The sterilized implant was reinserted into the reconstructed pocket. The flap provided reliable vascularized coverage, allowing successful implant salvage. Healing was uneventful, with no recurrent infection or reexposure. The aesthetic result was satisfactory, with adequate contour and no donor-site morbidity. The myocapsular flap is a practical, low-morbidity option for implant salvage in cases of limited exposure, offering effective coverage within the same surgical field.