Mammary augmentation in a community hospital by a general surgeon: results and treatment of encapsulation

One hundred females underwent mammary augmentation for cosmetic reasons. All operations were performed under general anesthesia through a para-areolar incision. All of the patients were pleased with the results, although 7% developed excessive scar contracture or encapsulation. Two patients were operated upon again, and both re-encapsulated. A closed compression technique for rupturing the capsule was then applied to all seven, with rupture of the capsule and return to a normal breast consistency. Even the group with encapsulation stated that they were generally pleased with the augmentation.