Luo Sheng-Kang, Chen Guang-Ping, Wang Hai-Bin, Sun Zhong-Sheng, Xu Xiang, Wu Yan-Qun
Department of Plastic Surgery, Guangdong Provincial Second People's Hospital, Guangzhou 510317, China.
Zhonghua Zheng Xing Wai Ke Za Zhi. 2012 Sep;28(5):321-4.
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.
目的：探讨乳晕入路联合治疗隆乳术后包膜挛缩的效果。 方法：2005年2月至2011年6月，对94例（168侧）隆乳术后出现Baker III级和IV级包膜挛缩的患者采用乳晕入路进行治疗。重建植入腔，部分病例去除包膜，部分病例未去除。部分患者二期将假体重新植入胸大肌后或乳腺后。 结果：46例患者门诊随访，其余患者电话随访6 - 37个月，平均9.9个月。2例复发为Baker III级包膜挛缩，1例复发为Baker IV级包膜挛缩。其余所有乳房外观良好，质地柔软，手感好。未发生血肿、感染、假体破裂、乳房下垂或假体移位。 结论：乳晕入路联合治疗隆乳术后包膜挛缩疗效良好。乳房外观满意，包膜挛缩发生率低。
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