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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 2 (Frontal and profile view): A. Preoperative aspect of a 19 year-old white female who presented a left tuberous breast. B. Seven-month postoperative aspect after the insertion of a 325 ml round smooth silicone filled implants, showing an evident displacement of the left prosthesis to the abdominal region. C. Nine-month postoperative aspect after a capsuloplasty of the left breast
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Figure 2: Case 2 (Frontal and profile view): A. Preoperative aspect of a 19 year-old white female who presented a left tuberous breast. B. Seven-month postoperative aspect after the insertion of a 325 ml round smooth silicone filled implants, showing an evident displacement of the left prosthesis to the abdominal region. C. Nine-month postoperative aspect after a capsuloplasty of the left breast

Mentions: A 19 year-old white female who presented breast hypotrophy with left tuberous breast was undergone breast augmentation with a 325 ml, round smooth, high profile silicone implants, through an inferior periareolar incision. Implants were placed in a retropectoral pocket. One month after surgery, she complained about bottoming down of the left implant. A capsulectomy with removal of the area superiorly to the new infra-mammary fold was performed on the left breast and a capsulorraphy was made at the left breast to define the new inframammary fold (Figure 2).


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

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

Case 2 (Frontal and profile view): A. Preoperative aspect of a 19 year-old white female who presented a left tuberous breast. B. Seven-month postoperative aspect after the insertion of a 325 ml round smooth silicone filled implants, showing an evident displacement of the left prosthesis to the abdominal region. C. Nine-month postoperative aspect after a capsuloplasty of the left breast
© Copyright Policy
Related In: Results  -  Collection

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

Figure 2: Case 2 (Frontal and profile view): A. Preoperative aspect of a 19 year-old white female who presented a left tuberous breast. B. Seven-month postoperative aspect after the insertion of a 325 ml round smooth silicone filled implants, showing an evident displacement of the left prosthesis to the abdominal region. C. Nine-month postoperative aspect after a capsuloplasty of the left breast
Mentions: A 19 year-old white female who presented breast hypotrophy with left tuberous breast was undergone breast augmentation with a 325 ml, round smooth, high profile silicone implants, through an inferior periareolar incision. Implants were placed in a retropectoral pocket. One month after surgery, she complained about bottoming down of the left implant. A capsulectomy with removal of the area superiorly to the new infra-mammary fold was performed on the left breast and a capsulorraphy was made at the left breast to define the new inframammary fold (Figure 2).

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