Revision can include partial or total capsulectomy, pocket conversion (e.g., sub-glandular to sub-muscular), implant exchange, internal sutures (capsulorrhaphy), or autologous tissue support. The trans-axillary approach is used when anatomically feasible to avoid additional scarring on the breast.
For capsular contracture, an en bloc capsulectomy may be performed depending on the extent and the patient’s preference. For bottoming-out, the inframammary fold is reconstructed using internal sutures or, where needed, biologic mesh.