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Breat Augmentation Revision Due to CC- What is the Best Option, Please Help

asked 1 year ago by Lynn85 in USA
Latest answer by Otto Joseph Placik, MD
Question viewed 450 times
Tags: breasts, female, silicone implant, under muscle, capsular contracture, harden, revision, tear drop, textured

I had my first BA 2&1/2 yrs ago(Subglandular,285cc,Silicon Implants). The results were great.Just2months ago i started developing Capsular Contracture in my right one. Took anti-biotics and costizon,the breast softened but not for 2long. A month later the right Breast hardened again. Now i have decided to go for a revision surgery for both. My question is what is the best placement method if i want most natural look&less CC rate? Under the Muscle + Silicon + Textured + TearDrop Shape??

4 answers to Breat Augmentation Revision Due to CC- What is the Best Option, Please Help

+1

Options for capsular contracture

This is not an easy answer but things that may be associated with lower capsular contracture include: under the muscle, textured, silcone, "no-touch", triple antibiotics, neo-pectoral pocket, inframammary fold approach, possible accolate therapy,etc.. Discuss these options with your surgeon.
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Capsular Contracture and Implant Position

Research has not really demonstrated a substantial difference between textured and smooth implants with capsular contracture.  Going behind the muscle has shown a difference, as has the type of antibiotic irrigation used. I would recommend going behind the muscle with smooth implant saline or silicone and pocket irrigation and maybe prophylactic use of Accolate (which is off label and no studies for its prophylactic use exists). Use of acellular products may play a role in... more
Farbod Esmailian, MD

Orange County Plastic Surgeon
+1

Capsular Contracture

There is really no way to prevent capsular contracture at the present time.  However, an implant under the muscle has  alower rate of capsular contracture. Also, textured silicone implants have lower rate of capsular contracture when in a subglandular plane than smooth types.  In a submuscular plane, there is virtually no benefit.  I would personally perform a capsulectomy, implant removal, and new submuscular implant placement. 
Siamak Agha, MD, PhD

Orange County Plastic Surgeon
+1

Breast Revision for Capsular Contracture

There is no ONE way to treat and prevent capsular contracture. In your case, I would remove the implants, remove part of the scar tissue,wash the pocket with antibiotic solution and place new implants under the muscle where the rate of capsular contracture is much lower. There is increasing evidence that using an acellular dermal matrix such as Alloderm or Strattice along the lower, side portion of the pocket further significantly lowers the risk of capsular contracture. Dr. Aldea more
Peter A. Aldea, MD

Memphis Plastic Surgeon

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