Capsular Contracture Likelihood for Subglandular vs Submuscular?

Had surgery for cc of L breast (never went Bk to soft squishy state).now right cc.Chances of cc w/sub-glandular vs.sub-muscular? better to place both under muscle now?silicone implants frm06 periareiola incision.My weight fluctuates, when dwn see rippling which shouldn't see with silicone?Little ball like masses on outer edges of implants slightly smaller than marble dr says caused by cc?however its on bth breasts & according to him only my Rbreast has cc now? what are they?

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6 Doctor Answers | Asked by ladyluck5

Doctor Answers (6)
Community Comments (1)

Surgery

The capsular contracture and visible rippling is significantly less when the implants are in the submuscular space

Capsular contracture

I prefer to place implants under the muscle for the two reasons you mentioned. It helps minimize rippling in the upper pole, and it is felt that capsular contracture rates are lower under the muscle.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Capsular contracture

Hi Ladyluck, Capsular contracture and rippling are absolutely more common in front of the muscle. Your best bet is to convert your implants to behind the muscle. Since your incision is already around the areola, I would reused this approach and avoid a second incision.. In my experience there is no increased likelihood of capsular contracture through this areola .approach. With appropriate intra-operative antibiotics and and meticulous... more

Capsular Contracture Management

If you have subglandular implants and capsular contracture, you should replace the implants and transition to a submuscular plane. Kenneth Hughes, MD Los Angeles, CA

Capsular Contracture Likelihood for Subglandular vs Submuscular

Capsular contracture is less likely in submuscular implants. Given your issues with both CC and ripples, you would be best served by replacing your current implants with submuscular gel implants. your surgeon might want to consider and incision in the breast fold for this procedure. Without a photo or better still an exam, I am not certain as to what you are feeling around the implant edges, but I suspect they are ripples, folds in the implant edges. All the best. more

Capsular contracture and implant placement

CC is a complex problem and is the most common thing that destroys a nice breast augmentation. Over the years there have been many attempts to determine whether implant placement and silicone vs saline made a difference. In my opinion and experience, implants below the muscle are better and although I do 95% gels, I think the salines are a tiny bit less prone to CC. Incision also matters and the areolar incision seems to have a higher risk than the crease. more

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Comments (1)

niabear52 16 Feb 2013

take them out! i have my implants under the muscle and it dosent matter if theyre on top or under u can get cc its just bad luck i belive i drink alot of vitamin e try doing that and dont massage! i had cc in my left one! verry stressfull time in my life! hope yours turn out okay any other questions mssge me!

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