Breast Implant Revision: Q&A

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Second Time Capsular Contracture. What is my Best Option?

9 months ago I had implants replaced due to capsular contracture. The new ones capsulated to grade 2 and 3 within a couple of months. They were placed over the muscle both times. We used the same size. 325 cc. I needed a lift but opted out both times. They are high profile smooth implants. It has been suggested to do another release and breast lift or take them out and I will go from a full D to a B cup. Hard decision since I am 20 lbs. heavier than I was 23 years ago!

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6 Doctor Answers | Asked by VAW in Florida

Doctor Answers (6)
Community Comments (1)

Second Capsular Contracture Options

If both revisions were placed above the muscle, the option of submuscular placement should be explored. The addition of the dermal matrices can be used in this, but the shift to a submuscular plane is a reasonable option.

What is my Best Option?

Sorry to read about this problem. You have several options. Most reliable would be to remove the implants. If you choose to try again, the implants would be better placed below the muscle, and a piece of acellular dermal matrix (Strattice) should be considered. Depending on your band size (34, 36,38 and so forth) you might find that removal won't decrease you by two full cup sizes as you suggest. Thanks for your question, all the best.

Capsular contracture will probably happen again.

Hi. Without examining you, my guess is that you should get rid of the implants and have a good lift and end up with small but nice breasts.

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Capsular contracture recurrence

Capsular contractures are sometimes tricky to deal with. It is thought that placing the implants under the muscle may be better. In addition using an ADM like Strattice may help diminish the risk as well.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Options after second recurrence of a capsular contracture

This is a tough situation and unfortunately there are not definitive answers. If your implants were placed above the muscle you may consider switching the site to below the muscle. There is also some evidence that using an acellular dermal matrix such as stratise made by Lifecell helps to reduce the incidence of capsular contrature. Your other option is to remove the implants completely and have a breast lift. Other options may include using a textured implant. more

Breast revision for capsular contracture

Breast revision for capsular contracture there are several options consider dermal sheeting of some sort ie belladerm, consider submuscular conversion form stable implant from sientra vit e and accolate

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Comments (1)

VAW
4 Jan 2013

Because I opted out for a lift, would it make a difference the third time around with a lift for capsular contracture or is it the procedure itself.

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Breast Implant Revision: Q&A