Answer:
Closed capsulotomy is a technique to disrupt the capsule by manually squeezing the breast until there is an audible pop. Although earlier reports indicate that up to two-thirds of patients returned to Grade I, later reports demonstrated there was a recurrence rate of up to 80%. Furthermore, a complication rate of 10% has been reported including hematoma, ruptured implant, gel migration, and implant displacement. It has been demonstrated that the force applied during compression often exceeds the breaking strength of most implants. Therefore, closed capsulotomy is not advocated.