Although capsular contracture and its treatment have been extensively described in the plastic surgery literature, correction of implant malposition and pocket deformities such as diverticuli, symastia and “double bubble” has been the topic of few discussions.

In experimental models, peri-implant capsules are found to contain abundant collagen and a rich vascular network. Based on its random vascular pattern, we have used this capsular tissue to provide sturdy, well-vascularized and versatile local flap material to correct a variety of implant pocket deformities.

We describe our experience with these capsular flaps and present examples of their use for the reliable correction of each of these various clinical situations.