I had breast augmentation 5 years ago, within 6 months developed capular contracture. My surgeon removed the implants and placed the on top of the muscle. Everything was great and breasts looked awesome until about 4 months ago. From the past experience the systems all the the same. Is this possible? Also, I have an auto immune disorder can this contribute to the problem?
Answer: Recurrence of capsular contraction after correction can be as high as 50% In the past patients who have correction of a capsular contraction with re-implantation had a 50% risk of recurrence of capsular contraction.Newer methods for treating capsular contraction which include total excision or removal of the capsule, capsulectomy, and replacement with textured breast implants wrapped with a biological membrane such as acellular dermal matrix, may reduce the chance of recurrent capsular contraction.
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CONTACT NOW Answer: Recurrence of capsular contraction after correction can be as high as 50% In the past patients who have correction of a capsular contraction with re-implantation had a 50% risk of recurrence of capsular contraction.Newer methods for treating capsular contraction which include total excision or removal of the capsule, capsulectomy, and replacement with textured breast implants wrapped with a biological membrane such as acellular dermal matrix, may reduce the chance of recurrent capsular contraction.
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CONTACT NOW Answer: Can you have capsular contracture more than once? Thank you for your question. The answer to your question is yes. Indeed, patients with capsular contracture are more likely to get repeat capsular contracture. As of this writing, the immune system has not been implicated in capsular contracture. For capsular contracture there are non operative modalities, (taking singulair, message, Aspen treatment, short course steroids, etc). We like singulair in our office, along with the other modalities. One should take it for 90 days straight. There are also operative modalities, (capsulectomy, capsulotomy, change of pocket, placement of ADM, removal). If the non operative modalities fail, the breasts usually do not get softer with time. They usually will harden, and become more odd shaped. The definitive treatment at this writing is surgical. Please speak with a Board Certified Plastic Surgeon about all your options. The ASAPS and ASPS websites are good places to start. You may be a better candidate for one over the other. Jeffrey J. Roth, M.D., F.A.C.S. Board Certified Plastic Surgeon Las Vegas Plastic Surgery
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CONTACT NOW Answer: Can you have capsular contracture more than once? Thank you for your question. The answer to your question is yes. Indeed, patients with capsular contracture are more likely to get repeat capsular contracture. As of this writing, the immune system has not been implicated in capsular contracture. For capsular contracture there are non operative modalities, (taking singulair, message, Aspen treatment, short course steroids, etc). We like singulair in our office, along with the other modalities. One should take it for 90 days straight. There are also operative modalities, (capsulectomy, capsulotomy, change of pocket, placement of ADM, removal). If the non operative modalities fail, the breasts usually do not get softer with time. They usually will harden, and become more odd shaped. The definitive treatment at this writing is surgical. Please speak with a Board Certified Plastic Surgeon about all your options. The ASAPS and ASPS websites are good places to start. You may be a better candidate for one over the other. Jeffrey J. Roth, M.D., F.A.C.S. Board Certified Plastic Surgeon Las Vegas Plastic Surgery
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May 14, 2014
Answer: Capsular contracture can occur more than once Plastic surgeons do not know what causes capsular contracture but it certainly can recur after treatment. As far as we know any immune system disorder you have Plays no role.
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CONTACT NOW May 14, 2014
Answer: Capsular contracture can occur more than once Plastic surgeons do not know what causes capsular contracture but it certainly can recur after treatment. As far as we know any immune system disorder you have Plays no role.
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May 4, 2014
Answer: Recurrent Capsular Contracture Unfortunately, capsular contracture can occur more than once. Capsular contracture is due to a lingering infection coating the implant. Typically, the implant and the site of the implant is changed as well as the capsule removed. Earl Stephenson, Jr MD, DDS, FACS
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CONTACT NOW May 4, 2014
Answer: Recurrent Capsular Contracture Unfortunately, capsular contracture can occur more than once. Capsular contracture is due to a lingering infection coating the implant. Typically, the implant and the site of the implant is changed as well as the capsule removed. Earl Stephenson, Jr MD, DDS, FACS
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September 20, 2018
Answer: Recurrent capsular contracture with breast augmentation Sorry to hear about your recurrent capsular contracture. There are various things that can be done to try to prevent recurrence. First, your surgeon should perform a complete removal of the scar tissue capsule and replace the implant with a new textured implant. Be sure your surgeon chooses Sientra implants. They are the only manufacturer that has a 2 year guarantee against capsular contracture due to the superiority of their texturization process. Second, proper cultures should be obtained during surgery to be sure you don't have a chronic infection causing the recurrence. Third, your surgeon my opt to place a drain at the time of surgery. Fourth, see if your surgeon has any post-op treatments to help prevent recurrent capsular contracture. We have a special laser protocol for our patients that has greatly reduced our CC recurrence rates. Finally, be sure to take a dose of antibiotics before every dental procedure (even aggressive cleanings). Though the studies are not definitive, some reports show that dental procedures have been linked to CC.
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September 20, 2018
Answer: Recurrent capsular contracture with breast augmentation Sorry to hear about your recurrent capsular contracture. There are various things that can be done to try to prevent recurrence. First, your surgeon should perform a complete removal of the scar tissue capsule and replace the implant with a new textured implant. Be sure your surgeon chooses Sientra implants. They are the only manufacturer that has a 2 year guarantee against capsular contracture due to the superiority of their texturization process. Second, proper cultures should be obtained during surgery to be sure you don't have a chronic infection causing the recurrence. Third, your surgeon my opt to place a drain at the time of surgery. Fourth, see if your surgeon has any post-op treatments to help prevent recurrent capsular contracture. We have a special laser protocol for our patients that has greatly reduced our CC recurrence rates. Finally, be sure to take a dose of antibiotics before every dental procedure (even aggressive cleanings). Though the studies are not definitive, some reports show that dental procedures have been linked to CC.
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