This is a simple revision surgery for minor complications such as too large a pocket or loosening skin, which causes an unstable or lower riding implant position. It is also called as “pocket fixation” or “implant stabilization” procedure. Its main purpose is to correct low or ptotic implants due to saggy skin or insufficient skin support. Dr. Chuang uses the least invasive method for this surgery. This percutaneous suture technique will directly stitch the skin to reduce inner pockets and improve problems such as implant sliding, low position, uneven heights, or even implants being too centered. Special sutures are deeply planted in the skin surrounding implants to secure loose implant pockets and return implants to the normal position.
This procedure resolves implant displacement using mini-invasive external fixation with sutures. In contrast to traditional capsular repari through inframammary incision, Dr. Chuang only needs to make three to four 2-mm incisions at the loose spots and use special non-absorbable sutures to repeatedly stitch the skin and underlying tissue, resulting in an external adhesion over the internal pocket margin. The excessive pocket space can rapidly be reduced, and the implant position can be immediately returned back to normal. This procedure is advantageous in that it is minimally invasive and shows quick results. It also avoids the risk of skin incisions or unfavorable scars common to the traditional method. However, it also temporarily leaves skin with pinholes or irregular edges that would take 3–6 months to even out. Occasionally, sutures have the possibility of early loosening. Patients should be careful to not do perform any chest extension exercise in 3 months until the new pocket is well capsulized.