Breast Implant Capsule Flaps and Grafts: A Review of the Literature

Abstract

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Folded breast implant’s pointed edge causing thinning of the skin

“…Consequently, we inserted this implant in both breasts through a new inframammary incision. The thinned out skin area on the left breast was supported with a triangle-shaped capsular-fascial flap of 6 cm in length, raised from the pectoral muscle [4,5]. An alternative solution would have been subpectoral implantation, which will support the recovery of thinned out skin in the upper but not in lower quadrants.…”

Reconstruction of different tissue defects by means of various flaps in plastic surgery

“…In our Institution, the ration of local complications after immediate breast reconstruction with implant comes to 11.6% of the cases. Traditional therapeutic approaches involve antibiotics, drainage, rinsing, capsulotomy, change of the device and primary closing of the wound after excision of the necrotic tissue (Weber & Hentz, 1986;Planas et al, 1995;Persichetti et al, 2014). However, they may also fail in cases of decreased tissue viability and irradiation.…”

“…Accompanying infection may contribute to this process. Although exposed implants are traditionally treated by insertion of a new one, many authors have reported successful salvage of implant (Forman et al, 1998;Ariyan, 2006;Behranwala et al, 2006) or alternative therapeutic strategies (Weber & Hentz, 1986;Planas et al, 1995;Abramo et al, 1999;Spear et al, 2004;Persichetti et al, 2014). However, these interventions may fail in case of previous radiotherapy or where tissue is injured or thin, necessitating implant removal.…”

“…For such cases, capsuloplasty seems to be an appropriate technique. The capsule appearing around the implant is a reaction to foreign material (Bassetto et al, 2010;Persichetti et al, 2014). It consists of fibroblasts and collagen fibers, has own blood supply and previous radiotherapy contributes to its development (Behranwala et al, 2006).…”

“…prevention of implant wrinkling (Hobman & Sharpe, 2008;Persichetti et al, 2014), pharyngeal reconstruction (Persichetti et al, 2010), shaping of inframammary fold (Persichetti et al, 2013) and cover for exposed implants (Weber & Hentz, 1986;Planas et al, 1995;Spear et al, 2004;Persichetti et al, 2014). However, the blood flow in capsule flaps has not yet been quantitatively determined in vivo.…”