The authors report their experience on the nonsurgical treatment of ca
psular contractures due to breast implant augmentation mammaplasty. Ex
ternal ultrasonic repeated applications have been applied to 24 patien
ts after closed capsulotomy procedures in order to reduce the recurren
cy rate. The new ultrasonic device used was based on a 2-MHz generator
with a timing adjustable power emission connected to eight transducer
s designed for breast anatomy. The authors report significant improvem
ent of the closed capsulotomy technique demonstrating a persistent sta
bility of the achieved results in 82% of the treated contractures, eve
n in severe cases (Baker's IV), after a minimum follow-up period of 12
months. Methods of application, technical features of the ultrasonic
device, experimental charts, and results obtained on 34 breast implant
capsular contractures are reported and discussed.