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Strattice to Lessen Chances of Capsular Contracture?
Had Augmentation 25 Years Ago with Capsular Contracture Fix a Year Later. Implants Great for 20+ Years, but then MRI Picked Up a leak. Implants replaced with new over muscle still; 6 months had revision to fix capsular contracture again. 3 months later contracture back in the right; got new ps, replaced implants with textured placed under muscle. 6 months+ cc back on right (a 4 on the scale, as it always is), left ok (about a 2). Implants all been gel.
Your thoughts on using Strattice to lesson the chances of this happening again? Any other ideas? 5 surgeries, going on 6; this is last before they come out.
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7 Doctor Answers |
Asked by
hitim2
in Baltimore
+3
Recurrent Capsular Contracture and Alloderm or Strattice ADM products
Since you have been experience recurrent bouts of capsular contracture, you may benefit a procedure incorporating AlloDerm or Strattice dermal matrix products. There is emerging data showing that these products may have a role in slowing down or preventing capsular contracture. In fact, I published a clinical paper on this very topic in December 2010 issue of our primary plastic surgery journal: Plastic and Reconstructive Surgery. However, even as an primary author of...
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Stattice or Alloderm for recurrent capsular contracture
With your history of several breast surgeries and recurrent capsular contracture. The Acellular Dermal Matrix, (ADM), products may be a good fit. This dermal matrix is made from dermis, (a layer of skin). Alloderm is made from humans. Strattice is made from porcine, (pig) skin. We have used this type of material in the burn unit for a while. It is also being used for breast reconstruction, and not in breast revisional surgery. When...
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Recurrentl capsular contracture treatment options with ADM
The data on ADM (acellular dermal matrix) with Alloderm being the most popular but most costly is mixed. Currently it seems to be effective. Other substitutes such as Strattice as well as numerous other products claim to get the same results. A Neopectoral pocket with new implant is other alternative.
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Capsular Contracture Recurrence
This is a tough problem. I would wager to say that every physician who places implants has seen and battled capsular contracture. By now, you may know that one accepted cause is a low grade peri-implant infection. The route of implant placement may affect this. The nipple is colonized with bacteria chronically. Thus, it is generally accepted that placing an implant through the areola may raise the risk of CC. Additionally, any minor bleeding around the...
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Strattice use after capsular contracture
The etiology of capsular contracture is not entirely clear, and so options for treatment and prevention are somewhat lacking. A previous history of capsular contracture does increase your risk of subsequent contracture. Strattice may provide some benefit but it will not guarantee you will not develop another contracture. The asthma medication Zafirlukast (Accolate) may also help prevent capsular contracture if you decide to replace the implants.
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Strattice for Capsular Contracture
Although I have no personal experience with Strattice, after discussions with colleagues and the company, I feel it is an excellent procedure as a salvage for recurrent capsular contracture. The procedure can get costly, but it is probably worth it after all you have been through, and to avoid explantation. I would definitely consider it.
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Capsular Contracture Treatment
As you are experiencing, established cc's are very difficult to treat. Strattice is processed cadaver dermis and it has been shown to decrease recurrence. Problem with it is it is expensive, and increases risks of infection. It is a bit tricky to work with, so there is a learning curve.
All that said, your choices include the Strattice plan, leave things alone, remove the implant and capsule and allow to heal, replace in about 6 months. Any may be...
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