Breast Implants: Q&A

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Can Capsular Contracture Be Fixed with Smaller Implants and a Skin Graft?

I'm suffering from pain due to capsular contracture in one breast. I've had 2 surgeries already-1st implants were saline, 2nd are silicone gummies. It's been 1.5 years since my last surgery and I've been to see my surgeon with concerns. He says I need to continue massaging it and see how it is in another 12 months. I'm not satisfied with that answer and would like to know what the possibility is of replacing them with smaller implants and using skin grafting on the outer layer of implant? Is there a certified plastic surgeon who can fix my capsular contracture?

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5 Doctor Answers | Asked by 5520anon in Overseas

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Can Capsular Contracture Be Fixed with Smaller Implants and a Skin Graft?

Skin grafts are not an acceptable form of treatment for capsular contracture but use of cadaveric skin within the implant pocket called Acellular Dermal Matrix has been reported to be associated with a lower risk but can be as costly as the implants.

Capsular contracture and repair

A capsular contracture can be corrected by removing all or some of the capsule, perhaps changing the pocket or using a different type of implants, and there are some recommending not a skin graft but using alloderm which is a type of skin from cadaver.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Correcting recurrent Breast Implant Scarring (Capsular Contracture) is Very Challenging

Regarding - "I'm suffering from pain due to capsular contracture in one breast. I've had 2 surgeries already-1st implants were saline, 2nd are silicone gummies. It's been 1.5 years since my last surgery ... would like to know what the possibility is of replacing them with smaller implants and using skin grafting on the outer layer of implant?" It sounds like you have the worst form of breast implant scarring (capsular contracture) - Baker IV class (painful scar more

Peter A. Aldea, MD

35 reviews

Memphis Plastic Surgeon

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Smaller implants will not help.

I would suggest to remove the implants and wait 3-6 months and then try either new set of implants or fat grafting. I have done more than 50 patients that were tired of implants and had multiple surgeries. I have removed their implants and performed fat grafting . You can check my web site for pictures.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Surgical Correction of Capsular Contracture

Some cases of capsular contracture are very difficult to correct such as yours. Rather than a skin graft which cannot be burried beneath the skin, you might benefit from incorporated a dermal matrix (such as AlloDerm) into the capsule. However, the cost of the product is significant.

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