Principles of Aesthetic Breast Revision Surgery | Journal CME Article-Journal CME Article: Principles of Aesthetic Breast Revision Surgery (Video 2 of 8)

Journal CME Article: Principles of Aesthetic Breast Revision Surgery (Video 2 of 8)

Video Transcription

Video Summary

The video details intraoperative management of capsular contracture and implant malposition in a reoperative breast augmentation. On the left breast, the surgeon accesses the capsule through the prior inframammary incision, preserves the capsule, and uses a sizer to assess the pocket. Redundant inferior capsule is shortened with electrocautery to create a raw surface that promotes fibrosis and reinforces the inframammary fold. Non-absorbable crossed sutures secure the fold. After layered closure, postoperative images show improved symmetry, stable fold support, and well-positioned 315 cc implants over time.

Keywords

capsular contracture

implant malposition

reoperative breast augmentation

inframammary fold

breast implant revision