Secondary augmentation mammoplasty was related to variable factors. To get stable result, diagnosis for surgical decision and planning is mandatory.

Postoperative tissue reaction of the capsule cannot be predicted by surgeon’s hand. For capsular contracture is to remove total capsule as en bloc. For malposition is to change new plane. For bottoming out or downward displacement of imlant is to make capsulorrhaphy of lower pole. The recurrent capsular contracture may be used with ADM(acellular dermal matrix) for resolving difficult case problems.

From 2014-2019. 75 patients via transaxillary(16), IMF(59),
8 case with ADM usage. Plane change, capsulorrhaphy, total capsulectomy, total capsulectomy and ADM covering fascia area.