Capsular grafts and flaps in immediate prosthetic breast reconstruction

Aesthetic Plastic Surgery
Horacio F Mayer, Hugo D Loustau

Abstract

Patients with previously augmented breasts and a diagnosis of breast cancer who are candidates for immediate prosthetic reconstruction can benefit from capsular tissues used for splinting the position of the pectoralis major muscle. A retrospective clinical review of patients with previously augmented breasts who are undergoing mastectomy and immediate prosthetic reconstruction with capsular tissues was undertaken. The bottom of the periprosthetic capsule was tailored in a novel and versatile fashion as grafts or flaps and used as a sling between the pectoralis major and the inframammary fold. Of the 21 patients in this study, 19 had unilateral reconstruction, whereas 2 had bilateral reconstructions. Capsular tissues were harvested as free capsular grafts in 15 cases and raised as a capsular flap in the remaining 8 cases. During the follow-up period, complications were detected in 7 patients (1 seroma, 1 infection, 1 hematoma, 1 superficial epidermolysis, 2 cases of rippling, and 1 mild capsular contracture). For eligible patients, the use of capsular tissues offers a readily available and cost-effective alternative to acellular dermal matrices with a negligible complication rate. Patient selection is key to ensuring a safe onc...Continue Reading

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Citations

Aug 3, 2017·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Darko TomicaMario Puljiz
Jul 30, 2014·Plastic and Reconstructive Surgery·Hugo D Loustau, Horacio F Mayer
Jun 28, 2017·Plastic and Reconstructive Surgery·Peter A LennoxSheina A Macadam
Jan 15, 2021·Advances in Skin & Wound Care·Siqi FuDennis P Orgill

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