Correction of capsular contracture by insertion of a breast prosthesis anterior to the original capsule and preservation of the contracted capsule: technique and outcomes.

[BACKGROUND] This study aimed to explore the treatment of capsular contracture after augmentation mammaplasty by insertion of a breast prosthesis anterior to the original capsule.

[METHODS] Through transaxillary or submammary incisions and small capsular incisions, 14 patients (18 breasts) with Baker grades 3 and 4 capsular contractures had their breast implants removed and repositioned anterior to the primary capsule. The primary capsules were preserved.

[RESULTS] Satisfactory results (Baker 1) were achieved for all 14 patients during the 29-month follow-up period.

[CONCLUSION] The described method offers numerous advantages for the treatment of capsular contracture. It is minimally invasive and performed through a small axillary or submammary incision. It is simple, offers little trauma, has less bleeding, and results in a good outcome based on our follow-up assessment in the medium term. It is our preferred method for the treatment of capsular contracture.