Do I need to have all the capsules removed and both pockets sewn up? What happened if my surgeon said there is no need for this to be done? He said the capsules will shrink in time and so are the pockets. Is this true?
Do I Need to Remove Capsules due to Implant Capsular Contracture?
Doctor Answers (7)
Removal of Capsule after implant removal
Every patient is different but the majority of the time, you do not need to remove the capsule when explanting breast implants. Sometimes the capsule is very thick or the patient is experiencing problems.. and a different approach needs to be taken. Make sure you are confident in the surgeon you choose and make sure they are a board certified plastic surgeon to get the best results.
Removal of the capsule in patients with capsular contracture
It is usually not necessary to remove the capsule if the capsule is thin.In fact attempts at total removal of thin capsules can cause excessive trauma and bleeding
If the capsule is calcified , the calcified portion should be removed.where the implant is ruptured and the capsule totally calcified the capsule and implant can be removed intact
The treatment of capsular contracture usually involves capsulotomy ,ie release of the capsuleby making multiple incisions in the capsule without removing it and replacing the implant with a new generation low bleed cohesive implant
In some cases the implant is placed in a new pocket ,eg sub fascial
In resistant or recurrent cases an adjustable implant can be used to splint the capsule at a larger volume while a new capsule forms and then reducing the volume at a later date
Web reference: http://www.beckermd.com/breast/revision-boca-raton-fl/
Breast Capsules-should they be removed
If the capsules are after a ruptured implant, I either remove them or the part that may have calcium deposits or not look good. If the capsule is thin and no rupture, I usually do not remove them but do give and discuss with the patient the options.
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Capsular contracture and capsule removal
Capsular contracture does not necessitate the capsule be removed. However, frequently the capsule may be scored to break up the scar tissue capsule or a partial capsulectomy (removal) is performed. If the capsule is thickened and calcified, it should be removed. New implants can be placed again, if desired at the same time as the capsule is treated.
Capsule removal for implant capsular contracture
The capsule does not need to be removed in many patients. There are some special circumstances where complete/partial removal will be beneficial, such as pain from the contracture or a thin patient with a thick capsule.
I completely concur with the comments of Dr Shureih. In brief, you do not always have to remove a capsule partially or completely, or at all. You can change the implant pocket to a new location. However, if you have pain related to capsular contracture, I personally believe that capsulectomy will be helpful. If you have more questions about capsular contracture, you can refer to the following page below.
capsular contracture treatment depend on many factors
1: where is the implant, above or below the muscle
2: age of the implant
3: Is there implant displacement or deformity
4: the thickness of the breast tissue over the implant.
There are many options
1: capsulotomy and insertion of new implant
2: Capsulectomy, Most of the time is partial capsulectomy, then insertion of new implant.
3: change of position of implant, to submuscular or NEO SUBMUSCULAR pocket. In this case the capsule is sutured together and a new submuscular pocket is created.
4: correction of the deformity if there is any.
A good analysis of the present situation and discussing your desired look will dtermine the plan of action.
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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