What Do You Recommend for One Sided Recurring Capsular Contracture? Cohesive Gels?

I have had my implants changed x3 in 6 yrs and most recently just had a capsulectomy on the right, with return of the capsule w/in 2 months. It is uncomfortable,hard,misshapen and ugly. What are my options?

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6 Doctor Answers | Asked by GF in NC in Raleigh, NC

Doctor Answers (6)
Community Comments (0)

Sometimes you need to just remove the breast implants and be done

If you have gone to excellent plastic surgeons and are having recurrent capsules in 2 months, your body is telling you that it doesn't want the implants. Hard as it may be to accept, you should consider just having them out. Nothing is known that will change this course.

Recurrent capsular contracture

Recurrent capsular contracture can be difficult to remedy. There are a number of things that can be tried, but nothing is for sure a sure thing. You may always get recurrent capsular contracture even years later. With that said, changing from a smooth implant to a textured surface implant, moving a subglandularly placed implant to a submuscular position and/or removing the implant and scar tissue capsule Round the implant and placing a new implant. Both saline and silicone gel implants... more

Todd C. Case, MD

14 reviews

Tucson Plastic Surgeon

Implant issues

Multiple capsular contractures are difficult to deal with. Some would suggest removing the entire capsule and placing the implant in a new pocket along with strattice, and others would suggest removing the capsule and implants and waiting a few months and then trying again.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Recurrent Capsular Contracture

Hello, I am sorry you have had such a difficult and unpleasant experience with breast augmentation. In reality, both Drs Pozner and Rand are correct. Dr Rand has made the assumption that all avenues have been thoroughly taken to prevent recurrance. Dr Pozner is delineating how aggressive a surgeon has to be to try to erradicate recurrance. In as few words as possible, capsular contracture is almost always associated with bacteria, and the environment they create... more

Alloderm/Strattice

Given that you have had recurrent capsular contracture, I would be inclined to perform complete capsulectomies, exchange your implants, and consider using an acellular dermal matrix product such as Alloderm or Strattice. These products have shown to reduce the rate of capsular contracture.

Recurrent capsular contracture

I disagree with Dr. Rand's answer. I would like to get the full story on your previous procedures and medical history. Was a complete capsulectomy performed and a new implant placed? Was a drain used? Do you have a history of sinus, urinary tract or other infections that could have contributed to capsular contracture? For the last few years we have been treating capsular contracture with complete capsulectomy, new implant and sometimes new position and Strattice placement.the data... more