Abstract
Background
Traditionally, breast implant extraction and capsular contracture treatment are performed using the transareolar approach. However, this approach is not acceptable to Chinese patients because of the additional scar formation. The authors present their experience using capsular contracture treatment using transaxillary endoscopic assistance without the need for an additional incision.
Methods
The former transaxillary incisional scar for augmentation mammoplasty is used. Blunt dissection to the outer surface of the fibrous capsule is performed. A 30° 10-mm endoscope is placed through the axillary incision for dissection of the capsule’s outer surface. After completion of this procedure, the capsule is cauterized open, and extraction is completed. Transaxillary capsulectomy is performed under endoscopic control. The reimplantation is performed with the no-touch technique after an adequate pocket has been created.
Results
From October 2005 to September 2006, 11 patients were treated with the described procedure. The results were favorable during a follow-up period of 4 to 6 months. No scar was left on the breast, and no additional scarring occurred.
Conclusions
Endoscopic transaxillary capsular contracture treatment through the axillary incision was possible, with successful removal of the fibrous capsule. The technique eliminated the incision on the breast and created one incision far from the breast area for completion of the procedure.
Similar content being viewed by others
References
Picha GJ, Batra MK (2000) Breast augmentation. In: Guyuron B (ed) Plastic surgery indications, operations, and outcomes. Mosby, St. Louis
Little G, Baker JL Jr (1980) Results of closed compression capsulotomy for treatment of contracted breast implant capsules. Plast Reconstr Surg 63:30
Young VL (1998) Guidelines and indications for breast implant capsulectomy. Plast Reconstr Surg 102:884
Handel N (1998) Managing local implant-related problems. In Spear SL (eds) Surgery of the breast, principles and art. Lippincott-Raven, Philadelphia, 953
Acknowledgments
I acknowledge Mrs. Sainsbury and Miss Sainsbury for their sincere help with grammar and word review.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Yu, L., Wang, J., Zhang, B. et al. Endoscopic Transaxillary Capsular Contracture Treatment. Aesth Plast Surg 32, 329–332 (2008). https://doi.org/10.1007/s00266-007-9104-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00266-007-9104-8