Should capsular contracture be removed? (photo)
Doctor Answers (15)
Capsular contracture plus deflation questions
Should capsular contracture be removed after breast implant deflation?
So the real question is: Do you have capsular contracture?
After a saline implant deflates the implant is smaller and usually the capsule cannot be felt. If you remember your breast to be hard and unnatural in shape on that side before it broke, then you probably do have capsular contracture. If it was soft and normal, then you probably do not have capsular contracture. Your surgeon will know during surgery if your capsule is thickened and shrunken or not. He/She will then be able to decide at surgery what the appropriate procedure should be.
That means you should choose a competent, experienced, board certified plastic surgeon, who has done lots of these procedures in the past.
I hope you have a great result!
Should Capsular Contracture Be Removed After Deflation of Saline Implant?
If the finding is that the patient has capsular contracture on the non-deflated side and both implants are being changed, then I always remove the capsule. Current theory is that a bacteria containing biofilm is contributing to the capsule formation. Not removing the capsule predisposes to a higher risk of recurrent capsular contracture.
When larger implants are being placed, then the capsule has to be opened or removed to allow the breast/skin envelope to expand with the larger volume. Otherwise the breast will feel like it has a capsule, tight and firm.
It all depends on what the proposed surgical plan is. A breast with a mild contracture that is not bothering a patient does not need to be operated on for health reasons. If it gets worse and starts to detract from the look and feel of the augmentation or causes discomfort, it can be removed.
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Should capsular contracture be removed?
Breast Implant Capsule Removal?
Grade 2- the breasts look great but they feel a bit firm. If this is detected early anti-inflammatory medications like Accolate can be used with some benefit.
Grade 3- the breast is firm and may appear misshapen.
Grade 4- the breast is hard, misshapen and painful.
Grade 3 and 4 capsules should be removed.
The appearance of the left breast in the photo is not consistent with a capsular contracture that requires removal of the capsule.
I would seek out another board certified plastic surgeon to evaluate you and render their opinion to help clarify this matter for you.
I hope this was helpful.
Capsular Contracture Repair
In my opinion, I do believe that the implants should be replaced and remove the capsular contraction. If the implants are leaking, soon you might have some kind of deformation.
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.