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Partial Chemical Capsulectomy and Closing of the Mammary Capsule with Anchoring Flaps

  • Guillermo S. Blugerman
  • Diego E. Schavelzon
  • Roberto Rodrigo Cáceres
  • Victoria E. Schavelzon
  • Miguel A. Mussi
  • Guido A. Blugerman
Chapter
Part of the Recent Clinical Techniques, Results, and Research in Wounds book series

Abstract

The use of breast implants that began in the 1960s, and in some cases where patients are chronic recipients, presents complications that require the explantation of mammary prostheses. Capsular contracture is the most frequent complication after breast augmentation surgery, it appears when the capsule thickens and contracts, compressing the implant, deforming it and altering the cosmetic result of the surgery, creating a discomfort to the patient, physical and psychological discomfort. At the time of surgery for its treatment, it often poses a challenge, which is why there are several tendencies in acting on the mammary capsule. We present a prospective work of 6 years where the treatment of the mammary capsule with a chemical agent is proposed, in addition to the closure, with flaps of the anterior and posterior wall of the mammary capsule. We have used this methodology in 61 patients to treat the different options in which it has been necessary to act on a residual capsule. Demonstrating the experience with this technique, a new treatment method is added to the literature to the most frequent complication of the use of breast implants.

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Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Guillermo S. Blugerman
    • 1
  • Diego E. Schavelzon
    • 1
  • Roberto Rodrigo Cáceres
    • 2
  • Victoria E. Schavelzon
    • 3
  • Miguel A. Mussi
    • 2
  • Guido A. Blugerman
    • 4
  1. 1.Centro B & S Excelencia en Cirugía PlásticaBuenos AiresArgentina
  2. 2.Rotante Centro B & S Excelencia en Cirugía PlásticaBuenos AiresArgentina
  3. 3.Residente 3er año Hospital Enrique Tornú, CABABuenos AiresArgentina
  4. 4.Servicio de Cirugía PlásticaHIGA Pedro FioritoBuenos AiresArgentina

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