Breast Implant Revision: Q&A

Ask a Question

Advice on Making Capsulorrahphy a Success?

I am having a capsulorrahphy done in two weeks for a bottomed out implant on the right side. Any advice on things I can do to make the surgery a success? If the surgery fails does the implant just drop back to the position it originally started from before the capsulorrahphy?

Tags:

bottom out capsulorraphy

Comment on this

8 Doctor Answers | Asked by planetfire

Doctor Answers (8)
Community Comments (0)

Capsulorraphy success and recovery

I perform a lot of capsulorraphy procedures and feel that the success depends on the type of suture used, technique, and postoperative strain. I would place reinforcing foam tape in the area and try not to strain the muscles.

How can I make my capsular repair a success?

The success of a capsular repair can be influenced by several factors including the following: strength of the local tissues strength of the local capsule itself size of the implant use of a supporting graft (e.g.: Strattice) Given these variables, there are a few things that we can do to help improve the chance for success. First, I generally recommend either downsizing slightly or at least maintaining the same size. I would not recommend... more

Bottoming out

When an implant has bottomed out, a capsulorrhaphy has to be performed. Often I will place a conforming dressing along the lower pole and a form fitting bra to hold the repaired fold. Best to ask your surgeon.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Capsulorrhaphy for bottoming out.

Success in this situation is two fold. First, an appropriated size implant must be utilized. Larger implants, are of course heavier and the pectoralis muscle can have a much greater effect on implant position. Second, it is important to reinforce the repair of the capsule with Acellular Dermis, especially if you have thin tissues. I will often have the patients limit activity and wear a supportive underwire bra for a period of 6 to 8 weeks as well. Good luck with your... more

Capsulorrhaphy Success in Breast Implant Revision

Capsulorrhaphy is dependent to some extent on patient tissue strength but mostly on the surgical technique and precision. Kenneth Hughes, MD Los Angeles, CA

Success depends upon the surgeon and the patient both

A bottomed out implant can be very frustrating. The reasons for this can be related to your surgery, your tissues or events after your original surgery that made this more likely. Similarly, these are the things that will help determine the success of your revision. The keys to a good capsulorrhaphy are centered in surgeon patience and attention to detail. This includes the size of the implant chosen as there is no doubt a heavy, larger implant puts more pressure on... more

Successful Capsulorraphy for Breast Implant Displacement?

Although I'm not able to provide you with specific advice, some general thoughts about successful capsulorrhaphy surgery may be helpful to you. Surgeon selection may be the most important decision you make; like any other type of operation, there is a “learning curve” and success rates improve with experience. Ask your surgeon to show you lots of examples of patients he/she has helped in your situation. Otherwise, from the technical standpoint, different... more