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Breast Capsulorrhaphy Revisited: A Simple Technique Utilizing a Gore-Tex Mesh

Introduction: Mammary prosthetic migration is a complication seen not infrequently after breast surgeries. Many factors can contribute to the displacement. When migration occurs, the patient is often left with a sense of disfigurement; and the surgeon faces a challenging repair. We present a case series describing 10 patients who have experienced implant migration and have had successful outcomes after capsulorrhaphies using Gore-Tex (expanded polytetrafluoroethylene). Materials and Methods: A retrospective review was performed of the charts of patients who underwent capsulorrhaphies at the Facial Plastic and Cosmetic Surgery Center between 1993 and 2010. We describe the surgical repair of implant migration using a Gore-Tex reinforced capsulorrhaphy. Results: Retrospective information was gathered for the period 1993 to 2010, during which time a total of 10 patients underwent revisional surgeries for implant migration. Notably, most patients had had multiple procedures before the onset of migration; 6 patients (60%) had had more than one prior breast procedure. Inferior displacement of the implant was the most common type of migration, occurring in 8 patients (80%). Two patients (20%) experienced relapse, and the remaining 8 patients (80%) demonstrated excellent results. Conclusions: Capsulorrhaphies have become a standard method in the repair of mammary prosthetic migration. Although the technique is generally effective, in some cases, additional stability is warranted. The adjunctive use of a Gore-Tex synthetic mesh can provide the necessary additional reinforcement. Gore-Tex used as an adjunctive procedure with capsulorrhaphies has resulted in long-lasting and cosmetically desirable outcomes.