Open AccessVersatility of Capsular Flaps in the Salvage of Exposed Breast Implants
Author(s) -
Beniamino Brunetti,
Stefania Tenna,
Barbara Cagli,
Tiziano Pallara,
Stefano Campa,
Paolo Persichetti
Publication year - 2015
Publication title -
plastic and reconstructive surgery. global open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.759
H-Index - 28
ISSN - 2169-7574
DOI - 10.1097/01.gox.0000464834.75117.b7
Subject(s) - medicine , breast implant , inframammary fold , implant , capsular contracture , surgery , breast augmentation , breast reconstruction , breast cancer , cancer
Summary: Breast implant exposure due to poor tissue coverage or previous irradiation represents a surgical challenge both in the reconstructive and aesthetic plastic surgery practice. In case of implant extrusion or incipient exposure, the commonly suggested strategies, such as targeted antibiotic therapy, drainage and lavage of the cavity, fistulectomy, and primary closure, may be ineffective leading the surgeon to an unwanted implant removal or to adopt more invasive flap coverage procedures. Breast implant capsule, in its physiological clinical behavior, can be considered as a new reliable source of tissue, which can be used in a wide range of clinical situations. In our hands, capsular flaps proved to be a versatile solution not only to treat breast contour deformities or inframammary fold malpositions but also to salvage exposed breast implants. In this scenario, the use of more invasive surgical techniques can be avoided or simply saved and delayed for future recurrences.(Plast Reconstr Surg Glob Open 2015;3:e340; doi:10.1097/GOX.307; Published online 30 March 2015.