Dual-plane implant positioning for capsular contracture of the breast in combination with mastopexy

被引：9

作者：

Siggelkow W. ^{[1
]}

Lebrecht A. ^{[1
]}

Kölbl H. ^{[1
]}

Faridi A. ^{[2
]}

机构：

[1] Department of Obstetrics and Gynecology, Johannes-Gutenberg-University Mainz, 55101 Mainz

[2] Department of Breast Surgery, RWTH, Aachen

来源：

Archives of Gynecology and Obstetrics | 2005年 / 273卷 / 2期

关键词：

Breast implants; Capsular contracture; Dual-plane positioning; Revision surgery;

D O I：

10.1007/s00404-005-0026-x

中图分类号：

学科分类号：

摘要：

Objective: This study aims at combined surgical therapy options concerning patients with a clinically relevant and long-established capsular contracture following subglandular breast augmentation in a glandular ptotic breast. Methods: This is a review of 23 patients with capsular contracture. Three patients had a revision surgery for capsular contracture and implant dislocation before. The mean implant duration in the case of the twenty patients without any previous revision was 96 months. A revision implant has been re-located in a dual-plane position and further corrective surgery was carried out to adapt the glandular ptotic breast. Between 2001 and 2003, a chart review was performed on all patients for capsular contracture and ptotic breast by using the technique presented in this study. Results: In each case, the operation was performed as a one-stage procedure. The procedure included the following steps: Removal of the implant and total capsulectomy, preparation of an inferior de-epithelialised skin pedicle above the inframammary crease, release of the inferior origins of the pectoralis major muscle, creation of a new implant pocket by continuous connection of the inferior muscle border with the cranial edge of the inferior skin pedicle (dual-plane), adaptation of the soft-tissue/skin envelope by closing the cranial V over the implant coverage, preservation of the areola by creating a cranial or cranial medial pedicle. There was a follow-up for a period of up to 48 months, and any complication that occurred was documented. At follow-up period, all patients who had been implanted with a new implant pocket were free of a clinically relevant capsular contracture. Conclusions: In the cases of a severe capsular contracture and glandular-ptotic breasts, we presented the surgical corrections of the parenchyma/skin envelop as a one-stage procedure following the establishment of a new implant pocket. © Springer-Verlag 2005.

引用

页码：79 / 85

页数：6

共 24 条

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