Reduction of capsular contracture with two-stage augmentation mammaplasty and pulsed electromagnetic energy (Diapulse...

A two-stage augmentation mammaplasty was performed on 231 patients (462 implants) over a period of 3 years. Two hundred and sixteen of the cavities (47 percent) were found to have hematomas at the time of the second surgical stage. After removal of the hematomas and completion of the second stage, only 41 breast (9 percent) developed capsular contracture. Treatment of the 41 with Diapulse therapy, massage, and closed capsulotomy completely eliminated all capsular contracture. The period of observation has ranged from 3 months to 2 1/2 years.