Aesthetic Plastic Surgery

, Volume 19, Issue 2, pp 169–173 | Cite as

A new instrument for performing an open capsulotomy in the transaxillary submuscular approach

  • Carl Troilius


A new way to perform a safe and predictable open capsulotomy is presented. A capsular contracture occurring after a subpectoral breast augmentation can not be handled with a closed capsulotomy. A patient who has a nicely healed scar in the axilla after a previous breast augmentation is likely not very interested in having a new scar added on the breast from a capsulotomy. Therefore, the author tried to handle this through the old axillary scar. In many cases the capsulotomy can be accomplished with a blunt dissector, but when this is not enough, the capsule has to be cut open with a sharp instrument. Such an instrument for this purpose was not on the market. This has lead to the new design of one.

Key words

Breast augmentation Transaxillary Submuscular Capsulotomy 


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  1. 1.
    Matti BA, Nicolle FV: Open capsulotomy by the transaxillary approach. Aesth Plast Surg 10: 243–244, 1986Google Scholar
  2. 2.
    Tebbetts JB: Transaxillary subpectoral augmentation mammaplasty: Long-term follow up and refinements. Plast Reconstr Surg 74: 636, 1984Google Scholar
  3. 3.
    Troilius C: Personal series, Transaxillary submuscular breast augmentation. Transactions of Meeting of Danish Society of Aesthetic Plastic Surgery, 1992Google Scholar
  4. 4.
    Troilius C: An anatomical study of transaxillary submuscular breast augmentation. Transactions of the American Society for Aesthetic Plastic Surgery, Los Angeles, 1992Google Scholar
  5. 5.
    Troques R: Implantation des prostheses mammaires par incision axillaire. Nouv Presse Med 1: 2409, 1972Google Scholar

Copyright information

© Springer-Verlag New York Inc 1995

Authors and Affiliations

  • Carl Troilius
    • 1
  1. 1.MalmöSweden

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