Capsular flap for coverage of an exposed implant after skin-sparing mastectomy and immediate breast reconstruction

Brandstetter, M.; Schoeller, Thomas; Pülzl, Petra; Schubert, Heinrich; Wechselberger, Gottfried

doi:10.1016/j.bjps.2009.11.054

Cited by 15 publications

(12 citation statements)

References 9 publications

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“…Other authors described capsular flaps to cover exposed implants after skin-sparing mastectomy and immediate breast reconstruction. 15 The particular conformation of the periprosthetic capsule and its different uses described in literature gave us the idea to use it as a strong support to redefine the IMF.…”

Section: Discussionmentioning

confidence: 99%

How to Redefine the Inframammary Fold

Persichetti

Langella

Filoni

et al. 2013

Annals of Plastic Surgery

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Section: Discussionmentioning

confidence: 99%

How to Redefine the Inframammary Fold

Persichetti

Langella

Filoni

et al. 2013

Annals of Plastic Surgery

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“…This makes it more difficult to achieve adequate soft-tissue coverage for the lower and medial poles of the implant, and leaves the skin as the only tissue available to support the implant [15]. Based on this experience, and as other authors have observed, the capsular flap provides simple and stable coverage for the implant and avoids its displacement [14], [15].…”

Section: Discussionmentioning

confidence: 99%

“…The use of the capsule as a local flap has been described previously for implant coverage after breast reconstruction and to treat breast contour deformities [14] , [15] . This present case demonstrates clinical application of capsular flap coverage of the lower-medial part of the right breast implant.…”

Section: Discussionmentioning

confidence: 99%

Chest wall reconstruction following axillary breast augmentation and desmoid tumor resection using capsular flaps and a form-stable silicone implant: A case report, diagnosis and surgical technique

Munhoz

Marques

Milanez

et al. 2017

International Journal of Surgery Case Reports

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HighlightsDesmoid tumors (DT) are a rare benign lesion, and chest desmoid tumors are much less frequent. A rare case of chest DT is presented and discussed.Chest DT following breast augmentation is very rare and few cases have been described; all have been related to the inframammary approach and located in the implant capsule. The authors describe a chest DT following subfascial axillary breast augmentation and subsequent surgical management and chest wall reconstruction.The case illustrates some aspects that may be useful for thoracic and plastic surgeons and may be used as guidance for surgical management.

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“…31,32 To our knowledge, Imran et al 33 first used the term for an inferiorly based capsular flap to correct a contour defect from a lumpectomy. Since then, many authors have reported using part of this capsule as a local flap in revision breast surgery for correction of aesthetic 34,35 and reconstructive 36,37 defects.…”

Section: Discussionmentioning

confidence: 99%

Autologous Collagen Matrix (ACM): Lower Pole Support With a Supero-Anterior Capsular Flap in Secondary Subpectoral Breast Augmentation

Montemurro¹,

Cheema²,

Hedén³

et al. 2017

Aesthetic Surgery Journal

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Background: Secondary aesthetic breast surgery is a complex and challenging scenario. It requires the surgeon to identify contributing factors, provide patient education, make a further management plan, and optimize the conditions for a favorable result. Various techniques have been described in literature but the rate of reoperation is still high. The first author has been using a supero-anterior capsular flap with a neopectoral subcapsular pocket and an implant change in these cases. Objectives: To review the patient characteristics, indications, and early results of using part of the existing implant capsule for secondary subpectoral breast augmentations. Methods: All patients who underwent secondary breast augmentation, over a period of 2 years by the first author (P.M.), using the supero-anterior capsular flap technique were included. The technique involves dissection of a new subpectoral pocket and uses the existing implant capsule as an internal brassiere. Results: A total of 36 patients were operated by this technique. Of these, 17 patients had developed a complication while 19 patients wanted a change in size only. At a mean follow up of 10.2 months, there was no bottoming out, double bubble, or capsular contracture. Conclusions: This reliable technique provides stable results as shown by low rate of complications with the existing follow up.

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Capsular flap for coverage of an exposed implant after skin-sparing mastectomy and immediate breast reconstruction

Cited by 15 publications

References 9 publications

How to Redefine the Inframammary Fold

How to Redefine the Inframammary Fold

Chest wall reconstruction following axillary breast augmentation and desmoid tumor resection using capsular flaps and a form-stable silicone implant: A case report, diagnosis and surgical technique

Autologous Collagen Matrix (ACM): Lower Pole Support With a Supero-Anterior Capsular Flap in Secondary Subpectoral Breast Augmentation

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