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The complication of double capsule and late seroma was first described by Pandya, after which it has increasingly been recognized by many other authors. Nonetheless, it is infrequent, and there is some debate about its mechanism. Malrotation of the breast implant is a common complication in breast augmentation with anatomical implants, and its incidence has been reported to be as high as 14% in some studies [1]. Nonetheless, reports of malrotation of a round implant are relatively rare, although Irkoren and Sivrioglu [2] reported upside-down rotation of a round breast implant without capsular disruption. Furthermore, the simultaneous occurrence of double capsule formation and malrotation (along the vertical axis) of a round implant has not been reported. We report herein a case of double capsule formation with upside-down rotation of the implant without a history of trauma. After the patient underwent computed tomographic imaging with contrast, we performed a change of the implant. A review of the clinical, radiological, and gross findings in this case is presented below.

Upside-Down Rotation of a Breast Implant with Double Capsule Formation after Aesthetic Breast Augmentation: A Case Report