Combined treatment with areola approach for capsular contracture after breast augmentation with implants

Objective To investigate the combined treatment with areola approach for capsular contracture after breast augmentation with implants.Methods From Feb.2005 to Jun.2011,94 cases ( 168 sides) with Baker Ⅲ and Ⅳ capsular contracture after breast augmentation with implants were treated with areola approach.The implants cavity was recreated,with or without removal of capsule.The implants were reimplanted behind pectoralis major or breast at the second stage in some patients.Results 46 cases were followed up by clinic visit and the others were followed up by telephone for 6-37 months,with an average of 9.9 months.The capsular contracture was relapsed in 2 cases as Baker Ⅲ and 1 case as Baker Ⅳ.All the other breasts got a good appearance with good soft texture and feeling.No hematoma,infection,implants rupture,breast ptosis or implant displacement happened.Conclusions Combined treatment with areola approach has a good therapeutic effect for capsular contracture after breast augmentation with implants.The breast appearance is satisfactory with low occurrence of capsular contracture. Key words: Augmentation mammaplasty; Capsular contracture with breast implant; Complication