Breast Implants: Q&A
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What's the Best Method to Treat Capsular Contracture?
I had breast aug 10/15/09. Saline, under the muscle. I have capsular contracture in my right breast & have tried massaging & singlair per my surgeon. I am going to have to go back into the operating room to correct.
What is the better method--having the tissue cut and corrected or replacing the implants? I am not happy with the size of my implants (too small) and would like to upgrade. However I do not want to increase my chances of this happening again.
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13 Doctor Answers |
Asked by
Oct2009
in New Jersey
+3
Capsular Contracture
You may have heard of someone's breast implants 'turning hard'. It is not the implants themselves that turn hard, of course; what has really happened is that the fibrous capsule around the implants has tightened and thickened, making the implants less mobile and causing them to feel firm (and eventually, in some cases, even 'hard'). The medical term for this phenomenon is 'capsular contracture'. It is a problem that is best managed by avoiding it altogether, and...
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Treatment of Capsular Contracture
The fact is that EVERY single foreign body or implant in our body becomes walled off by scar tissue. The body simply will not tolerate it otherwise. The scar tissue (also called CAPSULE) can be soft, impalpable and pose not symptoms (BAKER I class capsule) OR It can be hard, visible, palpable and associated with discomfort (BAKER IV capsule=CONTRACTURE).
Contractures have been associated with bacteria (placed at the time of surgery or by infections elsewhere in the body months to years...
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Capsular contracture treatment options
When any foreign object is placed in the body, the immune system responds by forming a lining around the object. While the causes for capsular contracture in breast implants are still unclear, the condition is fairly easy to treat surgically. Some surgeons will surgically reopen the breast and cut the scar tissue to release its hold on the breast implant. Most surgeons will surgically reopen the breast, completely remove the scar tissue that is causing the capsular contracture, and insert a...
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Capsular contracture
It is unclear why capsular contractures develop in one patient and not another. It may be multifactorial. I usually remove the capsule and replace the implants.
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Preveneting recurrent capsular contracture with revision breast augmentation
There is no definitive answer to this question other than the best way to prevent capsular contracture is to remove the implants and leave them out. That having been said. I would advise capsulectomy with implant removal and replacement.
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Treatment of capsular contracture
You have brought up an important topic.
Unfortunately, since we don't know the exact cause of capsular contracture, we cannot prevent this problem.
The only two methods which have any chance of correcting your situation is capsulotomy (where cuts are made in the capsule to "open up" the tightness) and capsulectomy (where the entire capsule is removed).
I reserve capsulectomy for patients who have had recurrent contracture, as it is a much more involved procedure and the chance of...
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Treatment of capsular contractures
Unfortunately, capsular contracture continue to plague plastic surgeons and our patients despite using the best techniques known to prevent them Non-surgiacl methods of treating capsular contractures include multiple sessions of external ultrasound and oral medications suche as Accolate, Singulair, PavaBid, and Vitamin E. I have had only rare success in treating capsular contractures non-surgically.
Most patients will require surgery to remove the entire capsule or create a neopectoral...
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Remove the capsule and use new implants
The most successful treatment in my experience is removal of the internal scar, either partial or complete, and replacement with different implants. I would also consider silicone as you have encapsulated with saline already. I would also use the under the muscle position as I feel the risk of reforming a contracure is lower.
You must understand however that you may reencapsulate - some patients are very prone to this problem. Modern medicine has not completely solved this issue and...
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Best method to treat capsular contracture
The best treatment for capsular fibrosis is to first find a cause. Like a postop bleed, infection or a scar former by genetic history or no excercise after surgery, combo of these. Than the BEST treatment is re operation and removal or incising the scar capsule.
From MIAMI Dr. B
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Removal of the capsule will help
The best thing would be implant exchange and also release and removal of the old capsule. The other technique that may help is use of drains.
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Treatment of capsular contracture
Simply removing and replacing the implants will not solve the problem of capsular contracture. I treat breast capsular contracture using a combination surgical and non-surgical approach including capsulectomy, implant replacement, topical protocols, and oral medications.
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Treating a capsular contracture
The scar tissues should be surgically removed, and a new implant inserted. There isn't a specific risk of cc with larger implants but the more a saline is overfilled, the tighter it feels and the more like a cc it resembles.
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Treat capsular contracture with new breast implants and capsulectomies.
Hi.
1) Removing the lining (the capsule) around the breast implants is very important, because it is this capsule that caused the contracture.
2) We think it is also important to use new implants, because the old ones may have a microfilm with bacteria, and this can also cause contracture.
3) Using larger implants will not increase the risk of another contracture.
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