Transaxillary Endoscopic Approach to Capsular Contracture Following Previous Breast Augmentation: Operative Technique and Clinical Outcome

  • Chang Liu
  • Yuzhe ChenEmail author
  • Yajuan Xu
  • Qi Qu
  • Zijun Wang
  • Yan Fan
Original Article Breast Surgery



Capsular contracture (CC) is a complication of breast augmentation that frequently requires revision surgery. The axillary approach reduces the visibility of the postoperative scar. It is unclear whether the previous incision can be used to repair the deformity caused by CC.


This study analyzed 21 patients (42 breasts) with grade III–IV CC during 2012–2017. The mean age of the patients was 32 years (range 23–48). Previous axillary scars were used to expose, and CCs were taken out completely or partially. Breast implants were removed. The dissection was performed with endoscopic assistance, using electrocautery under direct visualization.


The mean follow-up period was 13 months (range 6–24 months). The dissection plane was changed to dual plane. Thirty-five CCs were taken out completely. Thirty-eight breast implants taken out remained intact. None of the patients required additional surgery.


Endoscopic-assisted treatment may be an effective technique for treating CC and avoiding the additional scar.

Level of Evidence IV

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Endoscopes Capsular contracture Breast augmentation Reoperation The transaxillary approach Dual plane 



We sincerely thank all members, who offer their support and assistance in this work, from the Department of Dynamic Team. There are no funds supporting this work, and none of the authors have any financial and personal relationship with other people or organizations that could inappropriately influence this work.

Compliance with Ethical Standards

Conflict of interest

All the authors have no conflict of interest regarding the content of this article.

Human and Animal Rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

For this type of study informed consent is not required.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2019

Authors and Affiliations

  • Chang Liu
    • 1
    • 2
  • Yuzhe Chen
    • 1
    • 2
    Email author
  • Yajuan Xu
    • 2
  • Qi Qu
    • 2
  • Zijun Wang
    • 2
  • Yan Fan
    • 2
  1. 1.Department of Plastic Surgery, Beijing Shijitan HospitalCapital Medical UniversityBeijingChina
  2. 2.The Dynamic TeamBeijingChina

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