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Capsular Weakness around Breast Implant: A Non-Recognized Complication.

Arquero PS, Zanata FC, Ferreira LM, Nahas FX - World J Plast Surg (2015)

Bottom Line: A weak capsule allows the migration of the prosthesis to the lateral region of the thoracic region or inferiorly, towards the abdomen, due to gravitational forces.Most techniques aim to correct the malposition by making sutures to increase the resistance to the displacement of the implant, rearrange the structures using the capsule as flaps to remodel the envelope of the new pocket, obtaining a more stable and reliable result.In this article, four cases of displacement of breast prosthesis with capsular weakness are described and the surgical treatment that included a capsulotomy and capsulorraphy is described.

View Article: PubMed Central - PubMed

Affiliation: Clinica Dr. Pedro Arquero, Madrid, Spain.

ABSTRACT
Capsular contraction is a frequent complication following breast augmentation. On the other hand, capsular weakness, a not widely recognized complication, may occur around the implant. A weak capsule allows the migration of the prosthesis to the lateral region of the thoracic region or inferiorly, towards the abdomen, due to gravitational forces. The cause of capsular weakness remains unresolved. Implant malposition, with lateral or downward displacement, breast asymmetry, improper contour, with implants moving in the pocket that compromise the aesthetic outcome of breast augmentation and require surgical correction may be different symptoms from the same clinical problem. Capsular weakness is a short or mid-term complication of breast augmentation. Most techniques aim to correct the malposition by making sutures to increase the resistance to the displacement of the implant, rearrange the structures using the capsule as flaps to remodel the envelope of the new pocket, obtaining a more stable and reliable result. In this article, four cases of displacement of breast prosthesis with capsular weakness are described and the surgical treatment that included a capsulotomy and capsulorraphy is described.

No MeSH data available.


Related in: MedlinePlus

Case 1 (Frontal and profile view): A. Preoperative aspect of a 25 year-old female who presented hypotrophyc breasts. B. Six-month postoperative views after the first breast augmentation with a 400 ml round smooth silicone filled implants, moderate profile, presenting capsular weakness and lowering of both infra-mammary folds. C. Sixteen-month postoperative views after a capsulotomy and capsulorraphy with reinsertion of the implants
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Figure 1: Case 1 (Frontal and profile view): A. Preoperative aspect of a 25 year-old female who presented hypotrophyc breasts. B. Six-month postoperative views after the first breast augmentation with a 400 ml round smooth silicone filled implants, moderate profile, presenting capsular weakness and lowering of both infra-mammary folds. C. Sixteen-month postoperative views after a capsulotomy and capsulorraphy with reinsertion of the implants

Mentions: A 25-year-old white female who presented breast hypotrophy was undergone breast augmentation with 400 ml round smooth, moderate profile silicone implants inserted through an inferior periareolar incision. Implants were placed in a retropectoral pocket. After 6 months, she presented for consultation complaining about bottoming down of both implants. A revision surgery of both breasts was performed trough an infra-mammary incision. A capsulectomy of the lower pole associated with a capsuloplasty and capsulorraphy in the area of the inferior pole was done, defining the new inframammary fold. Breast implants were not changed (Figure 1).


Capsular Weakness around Breast Implant: A Non-Recognized Complication.

Arquero PS, Zanata FC, Ferreira LM, Nahas FX - World J Plast Surg (2015)

Case 1 (Frontal and profile view): A. Preoperative aspect of a 25 year-old female who presented hypotrophyc breasts. B. Six-month postoperative views after the first breast augmentation with a 400 ml round smooth silicone filled implants, moderate profile, presenting capsular weakness and lowering of both infra-mammary folds. C. Sixteen-month postoperative views after a capsulotomy and capsulorraphy with reinsertion of the implants
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4537610&req=5

Figure 1: Case 1 (Frontal and profile view): A. Preoperative aspect of a 25 year-old female who presented hypotrophyc breasts. B. Six-month postoperative views after the first breast augmentation with a 400 ml round smooth silicone filled implants, moderate profile, presenting capsular weakness and lowering of both infra-mammary folds. C. Sixteen-month postoperative views after a capsulotomy and capsulorraphy with reinsertion of the implants
Mentions: A 25-year-old white female who presented breast hypotrophy was undergone breast augmentation with 400 ml round smooth, moderate profile silicone implants inserted through an inferior periareolar incision. Implants were placed in a retropectoral pocket. After 6 months, she presented for consultation complaining about bottoming down of both implants. A revision surgery of both breasts was performed trough an infra-mammary incision. A capsulectomy of the lower pole associated with a capsuloplasty and capsulorraphy in the area of the inferior pole was done, defining the new inframammary fold. Breast implants were not changed (Figure 1).

Bottom Line: A weak capsule allows the migration of the prosthesis to the lateral region of the thoracic region or inferiorly, towards the abdomen, due to gravitational forces.Most techniques aim to correct the malposition by making sutures to increase the resistance to the displacement of the implant, rearrange the structures using the capsule as flaps to remodel the envelope of the new pocket, obtaining a more stable and reliable result.In this article, four cases of displacement of breast prosthesis with capsular weakness are described and the surgical treatment that included a capsulotomy and capsulorraphy is described.

View Article: PubMed Central - PubMed

Affiliation: Clinica Dr. Pedro Arquero, Madrid, Spain.

ABSTRACT
Capsular contraction is a frequent complication following breast augmentation. On the other hand, capsular weakness, a not widely recognized complication, may occur around the implant. A weak capsule allows the migration of the prosthesis to the lateral region of the thoracic region or inferiorly, towards the abdomen, due to gravitational forces. The cause of capsular weakness remains unresolved. Implant malposition, with lateral or downward displacement, breast asymmetry, improper contour, with implants moving in the pocket that compromise the aesthetic outcome of breast augmentation and require surgical correction may be different symptoms from the same clinical problem. Capsular weakness is a short or mid-term complication of breast augmentation. Most techniques aim to correct the malposition by making sutures to increase the resistance to the displacement of the implant, rearrange the structures using the capsule as flaps to remodel the envelope of the new pocket, obtaining a more stable and reliable result. In this article, four cases of displacement of breast prosthesis with capsular weakness are described and the surgical treatment that included a capsulotomy and capsulorraphy is described.

No MeSH data available.


Related in: MedlinePlus