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Breast Reduction + Implants and Capsular Contracture - What Should I Do?

asked 1 year ago by Suzie2010 in Dallas, TX
Latest answer by Steven Wallach, MD
Question viewed 210 times
Tags: breasts, female, silicone implant, 250-299cc, B cup, capsular contracture, D cup

Had breast reduction w/silicone impl same time ~ 1yr ago,D to B. Wanted breast that look full& my surgeon said can't achieve with reduct. & lift so I wanted 250CC of impls placed. I had infection,hematoma of R breast 7-10 days post & Irecovered. Shortly after I developed capsular contracture W/ lots of pain & he had to break them by squeezing. Same thing happened again now & have 2 options:take impls out& have flatA cup or another surgery to clean & place new implants,I don’t know what to do?

4 answers to Breast Reduction + Implants and Capsular Contracture - What Should I Do?

+1

Recurrent capsules and implants

First, closed capsulotomies are not recommended.  Second, it sound like you need a caspulectomy( removal) and probable implant removal and you may need to start over in a few months.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

REcurrent capsular contracture with implanted breast reduction

If you desire the upper breast fullness, I would recommend one more attempt at implant removal, replacement and a neopectoral pocket.
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Revision likely

If you want to keep some fullness, then the implants should be removed and replaced as well as removal of the breast capsule.  If the current implants were placed above the muscle I would placed them beneath the muscle during surgery.  I would not recommend a closed capsulotomy (squeezing to break the capsule) because this can cause more bleeding and damage the implant. Good Luck Dr. ES
Earl Stephenson Jr., MD, DDS

Atlanta Plastic Surgeon
+1

Managing a COMPLEX Breast reduction, Augmentation and Capsular Contracture case

Regarding ; "Had breast reduction w/silicone impl same time ~ 1yr ago,D to B. Wanted breast that look full& my surgeon said can't achieve with reduct. & lift so I wanted 250CC of impls placed. I had infection,hematoma of R breast 7-10 days post & Irecovered. Shortly after I developed capsular contracture W/ lots of pain & he had to break them by squeezing. Same thing happened again now & have 2 options:take impls out& have flatA cup or another surgery to... more
Peter A. Aldea, MD

Memphis Plastic Surgeon

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