Hi, if CC returns after revision how bad is it likely to be? Sadly, I went subglandular again with an areola incision (I wasn't advised there were other options). I don't think the entire capsule was taken out or another pocket made, but new bigger implants were used. With that history, is it 100% guaranteed that I'll develop CC again and, if so, to what degree (worse, same or better than before)? Thank you.
Answer: The exact cause of CC is unknown
While the exact cause of CC is unknown many Plastic Surgeons believe it is due to low grade infection. Modern techniques try to minimize any contact between the implant and the skin. Often after capsulotomy and replacement of the implants the contracture doesn't come back. Many times the implant pocket is changed from on top of the muscle to below. Ruptured silicone implant have been associated with contracture. Singulair may help reduce contracture.
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CONTACT NOW Answer: The exact cause of CC is unknown
While the exact cause of CC is unknown many Plastic Surgeons believe it is due to low grade infection. Modern techniques try to minimize any contact between the implant and the skin. Often after capsulotomy and replacement of the implants the contracture doesn't come back. Many times the implant pocket is changed from on top of the muscle to below. Ruptured silicone implant have been associated with contracture. Singulair may help reduce contracture.
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CONTACT NOW Answer: If Capsular Contracture Comes Back, is It Usually Worse, Same or Better Than Before? It is impossible to say that anything is a100%. Saline or silicone implants placed in a subgladular position have a higher chance of getting a capsular contracture than implants placed in a submuscular position. Though, since you are a revision, you are at a higher risk of capsular contracture. In medical studies the incision has not been shown to affect capsular contractures statistics too much. I would say that you are at an increased chance of developing capsular contracture based on your history of having developing capsular contractures. If you need a further revision I would suggest using silicone implants in a submusclar position.
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CONTACT NOW Answer: If Capsular Contracture Comes Back, is It Usually Worse, Same or Better Than Before? It is impossible to say that anything is a100%. Saline or silicone implants placed in a subgladular position have a higher chance of getting a capsular contracture than implants placed in a submuscular position. Though, since you are a revision, you are at a higher risk of capsular contracture. In medical studies the incision has not been shown to affect capsular contractures statistics too much. I would say that you are at an increased chance of developing capsular contracture based on your history of having developing capsular contractures. If you need a further revision I would suggest using silicone implants in a submusclar position.
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March 21, 2013
Answer: Chances of another capsular contracture
Usually, when a patient develops a capsular contacture, it is a good idea to change SOMETHING when you take out the capsules to try and minimize the risk of a recurrence. There is a higher incidence of capsular contractures when implants are placed above the chest muscle than below it. I believe this is due to better blood supply, less exposure to possible contaminants, and the massaging action of the muscle. I don't have any statistics but, based on my experience, I would say that there is a good chance that you will develop a capsular contracture again at some point. My best advice would be vigorous massage and, if it looks like you are developing firmness again, warm compresses, Vitamin E or Accolate (whatever your doctor likes to use), and possibly a course of antibiotics if there is a suggestion of an infection as the cause. If you DO develop a capsular contracture again, I would suggest submuscular placement of your implants the next time around.
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CONTACT NOW March 21, 2013
Answer: Chances of another capsular contracture
Usually, when a patient develops a capsular contacture, it is a good idea to change SOMETHING when you take out the capsules to try and minimize the risk of a recurrence. There is a higher incidence of capsular contractures when implants are placed above the chest muscle than below it. I believe this is due to better blood supply, less exposure to possible contaminants, and the massaging action of the muscle. I don't have any statistics but, based on my experience, I would say that there is a good chance that you will develop a capsular contracture again at some point. My best advice would be vigorous massage and, if it looks like you are developing firmness again, warm compresses, Vitamin E or Accolate (whatever your doctor likes to use), and possibly a course of antibiotics if there is a suggestion of an infection as the cause. If you DO develop a capsular contracture again, I would suggest submuscular placement of your implants the next time around.
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March 18, 2013
Answer: Capsular contracture (CC) recurrence
CC recurs regularly enough that we, as plastic surgeons, tell patients that it is probably at least a 50/50 chance, at least I do. There is just no way to predict. I personally feel that subglandular implants have a higher chance of CC, and of recurrence, ESPECIALLY if the capsule is not completely removed. I use mostly implants with "smooth" shells (rather than "textured") so I advocate that patients "massage" the implants (move them) starting 1 week after surgery. Seems to keep CC rates very low in my practice.
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CONTACT NOW March 18, 2013
Answer: Capsular contracture (CC) recurrence
CC recurs regularly enough that we, as plastic surgeons, tell patients that it is probably at least a 50/50 chance, at least I do. There is just no way to predict. I personally feel that subglandular implants have a higher chance of CC, and of recurrence, ESPECIALLY if the capsule is not completely removed. I use mostly implants with "smooth" shells (rather than "textured") so I advocate that patients "massage" the implants (move them) starting 1 week after surgery. Seems to keep CC rates very low in my practice.
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March 17, 2013
Answer: Recurring Capsular Contracture
It seems that capsular contracture may return after surgery but there is no way to predict how severe it will be.
Be sure to check your breasts frequently and keep in touch with your surgeon If the capsular contracture does return, your surgeon should consider:
Early use of ultrasound treatments and Singular (a medication) to stop the process
If repeat surgery is needed, it is better to remove as much of the capsule as safely possible, not just release it
Textured implants should be considered
Under the muscle placement through the breast crease incision should be used
Antibiotic washing of the new breast implants and implant space may be useful
The use of an acellular dermal matrix product may help decrease the risk of recurrance but it is expensive and not well supported by studies
Good Luck!
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CONTACT NOW March 17, 2013
Answer: Recurring Capsular Contracture
It seems that capsular contracture may return after surgery but there is no way to predict how severe it will be.
Be sure to check your breasts frequently and keep in touch with your surgeon If the capsular contracture does return, your surgeon should consider:
Early use of ultrasound treatments and Singular (a medication) to stop the process
If repeat surgery is needed, it is better to remove as much of the capsule as safely possible, not just release it
Textured implants should be considered
Under the muscle placement through the breast crease incision should be used
Antibiotic washing of the new breast implants and implant space may be useful
The use of an acellular dermal matrix product may help decrease the risk of recurrance but it is expensive and not well supported by studies
Good Luck!
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