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Arch Aesthetic Plast Surg. 2018 Jun;24(2):68-71. English. Case Report. https://doi.org/10.14730/aaps.2018.24.2.68
Jeong TK , Han JW , Min KH .
HB Plastic Surgery Clinic, Seoul, Korea.
Department of Plastic and Reconstructive Surgery, Eulji General Hospital, Eulji University School of Medicine, Seoul, Korea. mkh797@hanmail.net
Abstract

Background

Capsular contracture is the most common complication after breast augmentation using implants. In case of severe capsular contracture, surgical correction is inevitable. We introduce a treatment for severe capsular contracture with serial fat grafting before augmentation using implants.

Methods

In severe cases of capsular contracture, we removed the implants and performed partial capsulectomy. We harvested fat from the flanks or thighs using liposuction. The first fat graft was performed in the subdermal, subcutaneous, and subglandular layers of the breast. The harvested fat was frozen and stored. One month after implant removal and the first graft, a second fat graft was performed. One month later, a third fat graft was performed. Six months after implant removal, we augmented the breasts with implants.

Results

The cases of severe breast contracture were treated without any complications. The volume and contour of the breasts were satisfactory.

Conclusions

After implant removal in cases of severe capsular contracture, breast augmentation may be needed. Serial fat grafting before augmentation using implants prevents scarring of the breast envelope and provides sufficient volume with a secure breast envelope.

Copyright © 2019. Korean Association of Medical Journal Editors.