Capsulotomy or Capsulectomy? Which Will Correct a Moderate CC?

7 months post-op from initial B.A. Developed "moderate" CC on right breast at 3 months post-op (implant never dropped and began to move up) and am now considering a revision. Have consulted with numerous surgeons who vary in recommendation to perform an open capsulotomy or capsulectomy. What is the best option? Will capsulotomy correct a moderate CC? Are the success rates for both procedures relatively similar, or is one significantly more effective than the other? Thank you!

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3 Doctor Answers | Asked by C.Ann2004 in Bothell, WA

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Breast Implant Capsular Contracture Best Treated with Alloderm or Strattice

Capsulotomy or Capsulectomy alone to treat Capsular Contracture of Breast Implants will result in recurrence in about 50% of cases. The best modern effective treatment for Capsular Contracture of Breast Implants is to remove the capsule - Capsulectomy - and cover the Breast Implant with Acellular Dermis. Allodern and Strattice are two common types of Acellular Dermis. This technique is recommended by most experts today.

Recommendations for early capsular contracture

Recommendations for early capsular contracture: considor singular for 3 months. this is off label use but has about a 50% response rate the simplest surgery for minimal contracture is capsolutomy. less invasive can be done with local worsening or recuurent consider capsulectomy with or without a graft acellular dermis ie belladerm, flexiderm , alloderm

Capsular contracture correction, best long term treatment

Thank you for the question. Capsular contracture (CC) is one of the potential problems with implants. The traditional way of dealing with this problem is capsulotomy, total or partial or if the capsule is thick is capsulectomy and implant exchange. There is a high recurrence rate with these procedures. A recent advancement in dealing with this problem is using tissue matrix. Alloderm, which is human dermal scaffold or Strattice, which is porcine dermal scaffold. The Alloderm can stretch over... more