Breast Implant Complication Review: Double Capsules and Late Seromas

Abstract

Double capsules and late seromas are a relatively new problem in breast augmentation surgery. The problem was not seen in smooth saline or smooth silicone gel breast implants but only in aggressively textured implants.

How to prevent complications in breast augmentation

“…The second hypothesis propose a mechanical etiology: the detachment of the implant from the capsule would be determined by shear stresses applied to the implant-capsule complex, leading to the creation of a new inner layer of capsule over the implant, from seeding of cells coming from the seroma-like fluid accumulating between the implant and the original capsule (16).…”

Reoperative Transaxillary Breast Surgery: Using the Axillary Incision to Treat Augmentation-related Complications

“…Endoscope assistance may be helpful in these cases. Capsulotomy may also be performed when needed [17][18][19][20]. The request or need for size change was the cause of revision in 15.4% of the cases.…”

Late unilateral hematoma after breast augmentation

“…Breast enlargement is due to seroma formation. This condition is seen primarily with aggressively textured Biocell implants (11,12). HallFindlay (11) has suggested that the initial adherence of the capsule to the textured implant could become separated.…”