Skip to main content

Capsular Grafts and Flaps in Immediate Prosthetic Breast Reconstruction

  • Chapter
Book cover Breast Reconstruction

Abstract

In previously augmented patients, who are diagnosed with breast cancer and are candidates for immediate prosthetic reconstruction, the use of capsular tissues offers a ready available and cost effective alternative to acellular dermal matrices with a negligible complication rate. The bottom of the periprosthetic capsule can be tailored in a novel and versatile fashion as grafts or flaps and used as a sling for splinting the position of the pectoralis major muscle. Patient selection is key in ensuring a safe oncologic approach and it must be carefully carried out in close collaboration with the breast surgeon.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. American Society of Plastic Surgeons. Report of 2012 Statistics. Available at: http://www.plasticsurgery.org/Documents/news-resources/statistics/2012-Plastic-Surgery-Statistics/Reconstructive-Surgery-Procedure-Trends-2012.pdf. Accessed 15 Jan 2014

  2. Benson JR, Jatoi I (2012) The global breast cancer burden. Future Oncol 8(6):697–702

    Article  PubMed  CAS  Google Scholar 

  3. Loustau HD, Mayer HF, Sarrabayrouse M (2009) Pocket work for optimising prosthetic breast reconstruction. J Plast Reconstr Aesthet Surg 62(5):626–632

    Article  PubMed  Google Scholar 

  4. Hammond DC, Capraro PA, Ozolins EB, Arnold JF (2002) Use of skin-sparing reduction pattern to create a combination skin-muscle flap pocket in immediate breast reconstruction. Plast Reconstr Surg 110(1):206–211

    Article  PubMed  Google Scholar 

  5. Ibrahim AE, Atiyeh BS, Dibo SA, Sarhane KA, Abbas JS (2012) De-epithelialized dermal barrier for a safe immediate prosthetic breast reconstruction post circumvertical skin sparing/reducing mastectomy (SSM/SRM). Eur J Plast Surg 35(1):787–793

    Article  Google Scholar 

  6. Isken T, Onyedi M, Izmirli H, Alagoz S, Katz R (2009) Abdominal fascial flaps for providing total implant coverage in one-stage breast reconstruction: An autologous solution. Aesthet Plast Surg 33(6):853–858

    Article  Google Scholar 

  7. Breuing KH, Colwell AS (2007) Inferolateral Alloderm hammock for implant coverage in breast reconstruction. Ann Plast Surg 59(3):250–255

    Article  PubMed  CAS  Google Scholar 

  8. Salzberg CA, Ashikari AY, Koch RM, Chabner-Thompson E (2011) An 8 year experience of direct-to-implant breast reconstruction using human acellular dermis. Plast Reconstr Surg 127(2):514–524

    Article  PubMed  CAS  Google Scholar 

  9. Nahabedian MY (2009) Alloderm performance in the setting of prosthetic breast surgery, infection and irradiation. Plast Reconstr Surg 124(6):1743–1753

    Article  PubMed  CAS  Google Scholar 

  10. Hudson DA, Adams KG, Adams S (2012) Autologous dermal graft in breast reconstruction. Ann Plast Surg 68(3):253–256

    Article  PubMed  CAS  Google Scholar 

  11. Loustau HD, Mayer HF, Sarrabayrouse M (2007) Immediate prosthetic breast reconstruction: the ensured subpectoral pocket (ESP). J Plast Reconstr Aesthet Surg 60(11):1233–1238

    Article  PubMed  Google Scholar 

  12. Mofid MM, Meininger MS, Lacey MS (2012) Veritas® bovine pericardium for immediate breast reconstruction: a xenograft alternative to acellular dermal matrix products. Eur J Plast Surg 35(10):717–722

    Article  PubMed  PubMed Central  Google Scholar 

  13. Lanier ST, Wang ED, Chen JJ, Arora BP, Katz SM, Gelfand MA, Khan SU, Dagum AB, Bui DT (2010) The effect of acellular dermal matrix use on complication rates in tissue expander/implant breast reconstruction. Ann Plast Surg 64(5):674–678

    PubMed  CAS  Google Scholar 

  14. Parks JW, Hammond SE, Walsh WA, Adams RL, Chandler RG, Luce EA (2012) Human acellular dermis versus no acellular dermis in tissue expansion breast reconstruction. Plast Reconstr Surg 130(4):739–746

    Article  PubMed  CAS  Google Scholar 

  15. Jansen LA, Macadam SA (2011) The use of AlloDerm in postmastectomy alloplastic breast reconstruction: part II. A cost analysis. Plast Reconstr Surg 127(6):2245–2254

    Article  PubMed  CAS  Google Scholar 

  16. Bassetto F, Scarpa C, Caccialanza E, Montesco MC, Magnani P (2010) Histological features of periprosthetic mammary capsules: silicone vs polyurethane. Aesthet Plast Surg 34(4):481–485

    Article  Google Scholar 

  17. Brandstetter M, Schoeller T, Pülzl P, Schubert H, Wechselberger G (2010) Capsular flap for coverage of an exposed implant after skin-sparing mastectomy and immediate breast reconstruction. J Plast Reconstr Aesthet Surg 63:1388–1390

    Article  PubMed  Google Scholar 

  18. Yoo G, Lee PK (2010) Capsular flaps for the management of malpositioned implants after augmentation mammoplasty. Aesthet Plast Surg 34(1):111–115

    Article  Google Scholar 

  19. Gargano F, Moloney DM, Arnstein PM (2002) Use of a capsular flap to prevent palpable wrinkling of implants. Br J Plast Surg 55(3):269

    Article  PubMed  Google Scholar 

  20. Imran D, Javaid M, Lewis D, Attar KH (2005) Capsular flap for correction of contour deformities of the breast. Ann Plast Surg 54(6):662–663

    Article  PubMed  CAS  Google Scholar 

  21. Salgarello M, Rochira D, Barone-Adesi L, Farallo E (2012) Immediate breast reconstruction after skin- or nipple-sparing mastectomy for previously augmented patients: a personal technique. Aesthet Plast Surg 36(2):313–322

    Article  Google Scholar 

  22. Downes KJ, Glatt BS, Kanchwala SK et al (2005) Skin-sparing mastectomy and immediate reconstruction is an acceptable treatment option for patients with high-risk breast carcinoma. Cancer 103:906–913

    Article  PubMed  Google Scholar 

  23. Virden CP, Dobke MK, Stein P, Parsons CL, Frank DH (1992) Subclinical infection of the silicone breast implant surface as a possible cause of capsular contracture. Aesthet Plast Surg 16(2):173–179

    Article  CAS  Google Scholar 

  24. Mayer HF, Loustau HD (2014) Capsular grafts and flaps in immediate prosthetic breast reconstruction. Aesthet Plast Surg 38(1):129–138

    Article  Google Scholar 

  25. Vazquez G, Audoin F, Pellon A (2011) Los microtraumatismos como etiología del seroma tardío en la mamoplastia de aumento. Cir Plást iberolatinoam 37(3):215–222

    Article  Google Scholar 

  26. Zimman OA (2003) About images with breast implants and galactocele. Plast Reconstr Surg 112(7):1951–1952

    Article  PubMed  Google Scholar 

  27. Knight CD Jr, Griffen D, Knight CD Sr (1995) Prevention of seroma in mastectomy wounds: the effect of shoulder immobilization. Arch Surg 130(1):99–101

    Article  PubMed  Google Scholar 

  28. Cordeiro PG, Pusic AL, Disa JJ, McCormick B, VanZee K (2004) Irradiation after immediate tissue expander/implant breast reconstruction: outcomes, complications, aesthetic results, and satisfaction among 156 patients. Plast Reconstr Surg 113(3):877–881

    Article  PubMed  Google Scholar 

  29. Scuderi N, Mazzocchi M, Fioramonti P, Bistoni G (2006) The effects of zafirlukast on capsular contracture: preliminary report. Aesthet Plast Surg 30(5):513–520

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Horacio F. Mayer M.D., FACS .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Mayer, H.F., Loustau, H.D. (2016). Capsular Grafts and Flaps in Immediate Prosthetic Breast Reconstruction. In: Shiffman, M. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-18726-6_40

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-18726-6_40

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18725-9

  • Online ISBN: 978-3-319-18726-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics