I found a hard, tender, cord like mass in my left breast. I went to Dr. who diagnosed it as Mondors syndrom. I have had breast implants for 3 years now. I can feel slight rippling in the bottom outer quadrant of my breast, could what they think is a swollen vein actually be scar tissue?
Could my Diagnosis of Mondor's Syndrom Actually Be Capsular Contracture?
Doctor Answers (6)
Could my Diagnosis of Mondor's Syndrom Actually Be Capsular Contracture
it is quite unusual to form a Mondor cord after the initial recovery period unless you are nursing so this sounds a bit unusual and may be the early stages of a cc.
Mondor's Cord and Breast Augmentation
Mondor's cord is the inflammation and possible thrombosis of a superficial vein and this "cord" normally crosses the breast creast. This is not a complication and usually not related to capsular contracture or post-augmenation problem. This should resolve with ibuprofen and warm compresses, and will likely not impact the breast healing process. The fact that this is occurring 3 years after your breast augmentation procedure is more uncommon, and perhaps warrants a repeat visit or second opinion. Best of luck.
Mondor's Syndrom vs. capsular contracture
Photo would help. But my guess is there is no relationship between capsular fibrosis and Mondor's Syndrome. Seek local opinions.
From MIAMI Dr. B
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Although it is not common to develop a Mondor's cord 3 years after breast augmentation, it is not likely that a plastic surgeon mistook a capsular contracture for one. Capsular contracture doesn't usually present as a cord. Mondor's superficial thrombophlebitis responds well to warm compresses and nonsteroidal medications (ibuprofen, naprosyn). Good luck!
Web reference: http://francisnyplasticsurgery.com/breast_aug.asp
Mondor's is not the same as capsular contracture with breast implants
Although it is a bit unusual to have Mondor's develop 3 years after augmentation, it is very unlikely to be a manifestation of CC. It is theoretically possible to have both but I have never seen that. The Mondor's cord, which always occurs on the bottom of the breast across the fold, typically responds well to a steroid injection (something similar to cortisone) directly into it.
Mondors or capuslar contracture
In all fairness without examining you I can not really say what it is. Mondor's is very different than a capsular contracture. And rippling shows the outline of the implant through thin skin.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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