I have had my saline filled, behind the muscle, 350 CC implants for 11 years. I have capsular contracture in both and my natural breast has sagged from two pregnancies. I have consulted a surgeon about correcting this. He suggests replacing the implant in between the muscle and a breast lift. Can my implants be reused? He says I have about 10-12 years left in them. I'm happy without the implants if I get them removed but happier if I keep them. I'm curious about your opinion on this.
Capsular Contracture Correction?
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Capsular Contracture Correction?
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Capsular contracture correction and re-using implants
Re-using breast implants
I never re-use the implants. Statistics have shown higher contamination rates which have been linked to increased risk of capsular contracture.
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Capsular Contracture Correction
In the setting of capsular contracture, I would suggest exchanging implants if you desire to keep the volume that implants can give. Changing the site of the implants may be beneficial, but more important is opening and perhaps removing the capsule (or portions of it) and exchanging the implants.
Correcting capsule contracture
I recommend open capsulotomies and perhaps exchange of the implants. I am not a big fan of converting to submammary from submuscular. I think submuscular is a far superior position for implants. You may need a lift, but I cannot be sure without a picture.
Talmage Raine MD FACS
Hi, I would definitely replace them. There are newer better implants on the market now also.
To Replace Implants in the Case of Capsular Contracture
Implants should be replaced in the case of capsular contracture. The rest of the surgeon's plan sounds reasonable as well.
Capsular contracture treatment
Current thinking is that that biofilms are involved with causing capsular contracture - thats why you need to change the implant. I like to do complete capsulectomies with implant exchange for capsular contracture and most of the time i will place Strattice acellular dermal matrix as well. Most reports (including my series) show low recurrence rates of capsular contracture with use of Strattice
Capsular contracture options
The real question is what is the etiology of your capsular contracture. It is not unusual to see a woman who has developed a capsular contracture following pregnancy. It is theorized that this is due to a bacterial contamination of the implant. If your goal is to improve the shape and softness of your breast then you should consider a complete capsulectomy and replacement with new implants as well as a breast lift. If your implants are under the muscle now then your surgeon may consider a neopocket this would help prevent an overdissection of the pocket especially if you elect to use smaller implants in the revision procedure.
If your implants have developed capsular contracture they are usually removed and replaced. So, no your implants would not normally be reused. If you have sagging of the breasts this is normally corrected with a breast lift or mastopexy. Since you allegedly have 350cc breast implants, there is approximately 200cc per cup size and you will drop at least 1/2 to 1 cup size with a breast lift then, if you have your Implants Removed and get a Breast Lift (mastopexy) you will most likely DROP at least TWO CUP SIZES. I hope this is of assistance. Best,
Gary R Culbertson, MD, FACS
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