Combining muscle-splitting biplane with multilayer capsulorrhaphy for the correction of bottoming down following subglandular augmentation

Combining muscle-splitting biplane with multilayer capsulorrhaphy for the correction of bottoming... Implant malplacement is the second most common reason for revision and bottoming down is the most common presentation of implant malplacement. Submuscular biplane relocation was combined with capsulotomies and multilayer capsulorrhaphy when bottoming down was seen following subglandular breast augmentation. Between 2005 and 2009, bottoming down following subglandular mammoplasty was seen in 41 breasts (19 bilateral and three unilateral). Of the 19 patients, 12 had downward transgression of inframammary crease (IMC) alone; this also included a patient with vertical scar mastopexy. Two patients had multiplane malplacements where bottoming down was associated with lateral displacement (telemastia) in one and medial displacement (symmastia) in the other. Two had simultaneous downward transgression of the IMC and nipple areolar complex (NAC) and three had bottoming down with capsular contracture independent of NAC descent. Follow-up of up to 3 1/2 years showed stable IMC and NAC relationship with acceptable results. Dog ear revision was required in one patient when IMC relocation was accompanied with vertical scar mastopexy and one patient needed revision for further relocation and improvement of symmastia. No wound breakdown or periprosthetic infection was seen in their series. Multilayer capsulorrhaphy with submuscular biplane repositioning of implants is a suitable option to correct bottoming down following subglandular augmentation. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Combining muscle-splitting biplane with multilayer capsulorrhaphy for the correction of bottoming down following subglandular augmentation

Loading next page...
 
/lp/springer_journal/combining-muscle-splitting-biplane-with-multilayer-capsulorrhaphy-for-L70Vj1G5WK
Publisher
Springer-Verlag
Copyright
Copyright © 2010 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-010-0414-8
Publisher site
See Article on Publisher Site

Abstract

Implant malplacement is the second most common reason for revision and bottoming down is the most common presentation of implant malplacement. Submuscular biplane relocation was combined with capsulotomies and multilayer capsulorrhaphy when bottoming down was seen following subglandular breast augmentation. Between 2005 and 2009, bottoming down following subglandular mammoplasty was seen in 41 breasts (19 bilateral and three unilateral). Of the 19 patients, 12 had downward transgression of inframammary crease (IMC) alone; this also included a patient with vertical scar mastopexy. Two patients had multiplane malplacements where bottoming down was associated with lateral displacement (telemastia) in one and medial displacement (symmastia) in the other. Two had simultaneous downward transgression of the IMC and nipple areolar complex (NAC) and three had bottoming down with capsular contracture independent of NAC descent. Follow-up of up to 3 1/2 years showed stable IMC and NAC relationship with acceptable results. Dog ear revision was required in one patient when IMC relocation was accompanied with vertical scar mastopexy and one patient needed revision for further relocation and improvement of symmastia. No wound breakdown or periprosthetic infection was seen in their series. Multilayer capsulorrhaphy with submuscular biplane repositioning of implants is a suitable option to correct bottoming down following subglandular augmentation.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Oct 1, 2010

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off