I got my silicone implants ( 325cc both side) 7 months ago and both of them don't soft over time. My surgeon told me that it could be a capsular contracture grade 2-3, he told me to do a revision but I was so scare of having a surgery again. Is there any ways to help in my situation. Will the capsular get worse over time? And how much for the revision ? ( I don't want to ask my surgeon about that because I don't think he can help me. ) I'm so worried, please help me.
Capsular Contracture After Breast Implants. What Are My Options Other Than Surgery? (photo)
Doctor Answers 6
Based on your photos, it appears the right breast is slightly higher than your left. A physical exam would be needed to determine if indeed there was capsular contracture. All patients form a capsule around their implant. When this capsule is soft, that's fine. But in rare circumstances, if the capsule starts hardening, it can distort the breast shape and in severe cases cause pain/discomfort. Depending in the severity of your condition, I might suggest aggressive massage therapy first for at least 3 months. If there is no improvement or worsening of your condition, then a revision surgery will be required. This procedure involves removal of that capsule (scar tissue) and placement of new implants perhaps in a new pocket (a virgin pocket with no history of scarring if it is available for use). I would suggest you followup with your plastic surgeon to review your options. Hope this helps.
Capsule contracture versus pocket issue
If your either breast has become more firm over time and has changed shape then you may indeed have a capsule contracture. If your breasts have essentially stayed the same the whole time in terms of shape and firmness it may be that the pockets created for your implants during surgery are too small. Some patients have reported some improvement with certain medications for capsule contracture but this a rare event and usually happens when the capsule contracture is light. Surgery would be the ideal process for correcting either issue unfortunately.
All the best,
Dr. Remus Repta
From your photos, it appears that you have some degree of capsule on your right side - the left appears normal. This in combination with a firm breast is enough for a diagnosis of a capsule or an insufficient implant pocket. A revision surgery can correct both of these, but capsules can also return. Some surgeons will use a pill called Singulair as an off label means to try and remedy this problem. There is no need for additional diagnostic tests as the treatment remains the same. Discuss this with your surgeon as it is not necessarily anyone'f fault. A second opinion can be helpful if you feel unsure.
Best of luck,
Vincent Marin, MD
San Diego Plastic Surgeon
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