Summary
Surgeons are commonly confronted with breast contour deformities and defects that
result from previous surgical interventions. These soft tissue deformities can be
corrected by conventional reconstructive flap surgery using autologous tissue, but
there can be donor site morbidity. Smaller volume replacement is possible using temporary
fillers such as hyaluronic acid or polylactic acid, or by using ‘permanent’ fillers
such as autologous fat, but large defects are notoriously difficult to fill and often
the fillers resorb or migrate.
The patient described in this case report had an exchange of polyurethane implant
(PU) in the left breast and correction of a contralateral breast contour filling deformity.
A left breast partial capsulectomy was performed after implant removal and the capsule
graft was inserted into a predissected pocket where soft tissue augmentation was required.
A biopsy from the PU capsule was reported to show a foreign body type giant cell reaction
to PU material in a fibrous capsule, lined by synovial metaplasia. The post-operative
result showed satisfactory soft tissue revolumisation.
PU breast implant structured capsule has thus been used as filler to correct breast
soft tissue deformity and contour defects. Clearly it may have a use in other anatomical
sites.
Keywords
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References
Surgeons British Association of Aesthetic Plastic Surgeons. Cosmetic Rates of Inflation: Male, Female Breast Ops on the Rise (London, U.K.) 2009 Report of 2008 Statistics. http://www.baaps.org.uk/about-us/audit/453-cosmetic-rates-of-inflation-male-female-breast-ops-on-the-rise. [accessed 06.03.12].
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Article info
Publication history
Published online: April 16, 2012
Accepted:
March 21,
2012
Received:
March 10,
2012
Identification
Copyright
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
