Bilateral Baker IV CC and Mild Pain After 10 Months of BA- Will CC Reoccur With Revision? (photo)

Capsular contracture around breast implants is a poorly understood process. Once you have this problem, implant removal and exchange, even with different pocket creation and different positioning of the implant still has a high risk of recurrent capsular contracture. If you are willing to take the implants out, let things heal and then go back and replace the implants, the inflammatory process causeing the capsular contracture can heal, and the risk of recurrence goes down again... more

Baker grade IV capsular contracture is an unfortunate problem. One that usually requires an open capsulotomy. After release, aggressive massage as well as Singulair are your best options. If you are 10 months out you've waited long enough. My experience with Singulair is to use it early and for at least 2-3 months.

Once you have a capsule, there is always an increase incidence for recurrence. Placement of acellular dermal matrice at the time of revision surgery does appear to decrease the incidence of capsule reformation but is expensive. Donald R. Nunn MD Atlanta Plastic Surgeon.