What is capsulorrhaphy, the internal pocket repair?
Capsulorrhaphy stitches the inside wall of the implant pocket to shrink it, correcting implants that have drifted down, outward, or toward the middle.
When an implant pocket stretches, the device migrates — bottoming out below the fold, sliding into the armpit, or drifting toward the midline. Capsulorrhaphy repairs this from the inside: rows of sutures tighten the capsule wall until the pocket again matches the implant.
How the repair works and holds
The surgeon marks the intended implant position, then places permanent or long-lasting sutures along the overstretched capsule segment — the lower fold for bottoming out, the outer wall for lateral drift. The repaired wall must resist implant weight and motion while it heals, so supportive bras and activity limits follow for weeks.
Tissue strength varies between individuals, and weak capsules sometimes need mesh reinforcement on top of sutures. Ask a specialist which repair — sutures alone or with support material — your tissue quality points to.
MediIndex articles are for general information only and are not medical advice, diagnosis, or advertising. Outcomes vary by individual — consult a board-certified specialist for personal decisions.