Capsular contracture twice. Is there much success with your experience of women having a third capsulectomy?

Had this question been posed 10 years ago, then the answer would be either to live with the capsular contracture or give up and remove them. However, beginning in 2005 investigation in difficult patients such as yourself using ADM's began.  ADM's are Acellular Dermal Matrix grafts.  They are essentially skin grafts harvested from either pigs or cadavers.  All the cells are removed and what is left is the collagen framework of skin.  Using these ADM's to cover the implant essentially prevents any capsule from forming.  There are numerous studies demonstrating a very high success rate to prevent contracture.  There is some evidence that human ADM (Alloderm and Belladerm) are superior to animal ADM (Strattice).  Personally, I prefer Belladerm.Good luck,Ary Krau MD FACS

Strattice is an acellular dermal matrix (ADM) that is used for an internal bra and is often effective at protecting against recurrent contractures. Every time you have a capsulectomy some of the supporting tissue around the implant is removed, and Strattice also adds that coverage and support back. Given your history of a recurrent contracture, another capsulectomy without Strattice probably has a lower chance of success.

A complete capsulectomy  is often necessary to reverse capsular contracture. Very often, the posterior capsule is not removed or considered not important to remove. The only way to insure that a complete capsulectomy is done is to look at the intraoperative photos (if available) and to look at the pathology report (if available). You don't always have to resort to another expensive foreign body, such as acellular dermal matrix, to fix this problem.