Transaxillary Endoscopic Approach to Capsular Contracture Following Previous Breast Augmentation: Operative Technique and Clinical Outcome
- 23 Downloads
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
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
KeywordsEndoscopes 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.
For this type of study informed consent is not required.
- 5.Adams WP Jr. (2009) Capsular contracture: what is it? What causes it? How can it be prevented and managed? Clin Plast Surg 36(119–126):viiGoogle Scholar
- 14.Li Yu, Chuan Y, Zhihong F et al (2004) Application of endoscopic technique in the minimally invasive treatment of post-augmentative capsular contracture. Chin J Pract Aesthet Plast Surg 06:283–285Google Scholar