2020, Number 4
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An Med Asoc Med Hosp ABC 2020; 65 (4)
Double bilateral capsule in mammoplasty of increase
Velázquez AFJ, Soto VFJ, Nicolás CCF, Manzo HM
Language: Spanish
References: 17
Page: 315-319
PDF size: 258.26 Kb.
ABSTRACT
Mammoplasty with the use of breast implants is an increasingly common procedure, both in cosmetic surgery for augmentation mammoplasty and for subsequent oncological reconstruction of a total mastectomy. The increase in the performance of this procedure has been betrayed by a proportional increase in postsurgical complications at this very moment. Although complications associated with implants mastoplasty are diverse, the phenomenon of double capsule is a complication infrequent, in recent years has gained an important interest in plastic surgery. An intentional search in the main medical databases confirms the unusualness of the case, finding no more than 40 articles published. In the present article we present the case of the finding of a bilateral double capsule phenomenon in a patient with textured mammary implants (BIOCELLMT McGhan ST-110) of retromuscular location with an 8-year postoperative state, in a apparently healthy 46-year-old woman. It shows a double fibrous capsule, one closely attached to the implant and another looser covering both structures. As well as an analysis of the literature recently published in recent years, focusing on the physiopathology and accepted theories in the etiology of this phenomenon.
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EVIDENCE LEVEL
IV