Transaxillary Capsulorrhaphy with Reimplantation to Correct Bottoming-Out Deformity in Breast Mycobacterial Periprosthetic Infection: A Case Report with Literature Review

Background: Augmentation mammoplasty is one of the most popular cosmetic surgeries, but there a high reoperation rate (29.7%) commonly due to capsular contracture, implant malpositioning, infection, and unsatisfactory size. Although infection only accounts for 2% cases, its management very challenging, especially with nontuberculous mycobacteria (NTM) infection. Breast prosthetic NTM rare disastrous condition an incidence ~0.013%. Immediate salvage reimplantation usually not suggested, studies recommend gap 3–6 months after combination antibiotics therapy before reimplantation. However, delayed often leads great psychological stress struggle between doctor patient. Methods: We present case report successful in treating infections 28-year-old female. discuss novel technique “transaxillary capsulorrhaphy” correct bottoming-out deformity. One year surgery, follow-up computed tomography scan showed complete remission without recurrence. surgical detail. Results: The one-year assessment (photos dynamic video) revealed good cosmesis reliable correction using new technique. Conclusions: This first formal description discussion one-stage following infections. Transaxillary capsulorrhaphy allows operation when displaced. approach provides highly favorable result eastern women undergoing revision augmentation mammoplasty.