breast augmentationAppearing in a recent issue of The American Journal of Cosmetic Surgery, an article written by former Fellow, Dr. Jon Perenack and Dr. Tobin describes a technique developed by Dr. Tobin and Surgery Center Scrub Tech, Rudy Garza, which uses a tiny endoscope, and a built in laser to release contracted breast implant capsules.

Encapsulation of breast implants remains a significant problem for many women undergoing breast augmentation. This condition can result in pain, distortion of the breast shape as well as an unnatural feel to the breast. Unfortunately there is no absolute prevention of the problem, nor is there any non-surgical means of treatment. When it is not severe, many patients choose to do nothing, but in more advanced cases, surgery is required to correct the problem. Additionally, there is always the possibility of recurrence following successful surgical repair.

The technique developed by Dr. Tobin allows correction through a tiny incision made just beneath the nipple. A small endoscope, or telescope, is inserted which contains a laser and aiming device. The laser is used to cut through the scar tissue and release the contracted implant. Construction of the device provides for protection of the implant during the procedure and does not require removal or deflation, as is often the case with other methods of treatment. The operation is bloodless and allows patients to resume normal activity immediately following the procedure. In most cases, no dressings or drains are required in contrast to more conventional means of treatment.

We have had several patients who have achieved long term success with the method of treatment having failed with other techniques.

Success was achieved in between 82% and 95% of patients, depending on the severity of the encapsulation at the time of surgery. The procedure is carried out under a brief general anesthetic and there is rarely any discomfort following the operation.