Treatment of the Fibrous Capsule on Mammary Implants: A Technical Innovation for Changing the Implant from the Subglandular to the Submuscular Plane

The details and technical resources used in changing subglandular implants with fibrous capsules to the submuscular plane are described. A simple technique is proposed involving explantation followed by a partial capsulectomy that leaves in its place a patch from its deep plane that is adherent to the pectoralis muscle. This patch can be used as an access to the retromuscular space with no injury to the muscle. It finally will be expanded as a mesh to allow a normal projection of the implant.