What Kind of Sutures Are Used in Capsulorrhaphy? (photo)

Making an implant pocket smaller, a capsolorraphy, is done by many different methods. The variety of different techniques shows you that there is no single "best" method.  Most surgeons will choose a type of stitch that does not dissolve. There are many different types of non dissolving permanent sutures, and the exact suture type is probably not that critical. Sometimes a support material, such as Strattice or Alloderm is used to help hold the closure.  Use of a proper bra afterwards is important to maintain the new pocket boundaries.   

Practices will vary.  I find the most success utilizing a two layer permanent suture capsulorraphy repair.   Sometimes, depending on the patient's situation, the use of additional supportive material such as  acellular dermal matrix is also helpful  Best wishes.

One of the most common problems is breast capsule contracture or the development of thickening, and contracture of the capsule that exists around the breast implants. As it thickens and shrinks, the patient may develop a feeling a firmness of the breasts and in its worst situation, the breast may become painful and abnormal in appearance, achieving a very round, hard, and uneven appearance. There may be distortion and possible breakage and leakage of an older implant, but may also include a newer implant.  A #capsulotomy or opening of the breast capsule may be required for the removal of a scarred capsule.  Capsulotomy or the opening up of the #capsule may be required or frequently #capsulectomy, which is removal of the scarred capsule, is recommended to ensure adequate pocket dimensions.New implants may then be placed in the same existing position or may undergo a change of placement frequently from submammary to subpectoral position and, on occasion, the other way around.