Breast Capsulorrhaphy Revisited: A Simple Technique for Complex Problems

Implant malposition without capsular contracture is a common problem that has received little attention. Malposition of the implant in the inferior, lateral, or medial direction can be corrected predictably and relatively simply with capsulorrhaphy and mirror-image selective capsulotomy. In addition, capsulorrhaphy can be used to create a smaller pocket to preserve anterior projection and prevent lateral and inferior displacement when changing to a smaller implant. Eleven patients underwent capsulorrhaphy for either implant malposition or implant size reduction. Improved appearance and symmetry of the breast was accomplished in all patients without increased complications.