Recurrent Capsular Contracture

asked 1 year ago by Orlando228 in Orlando, FL
Latest answer by Paul S. Gill, MD
Question viewed 600 times
Tags: capsular contracture, results, strattice

I had a ba in 2001 with smooth, saline, over the muscle and developed bilateral cc, worse on right side, within a few months. In 2003 I went to a new ps, I changed to a smaller implants, smooth saline, under the muscle, ps used drains, and I developed cc again in the right side with in a few weeks. In 2005 I removed the implants. I have been reading about the use of strattice for recurrent cc. I was quoted $3K for the strattice. What kind of results have you had with using strattice for cc?

9 answers to Recurrent Capsular Contracture

Treatment for Recurrent Capsular Contracture

Since you have been experience recurrent bouts of capsular contracture, you may benefit a procedure incorporating AlloDerm or Strattice dermal matrix products. There is emerging data showing that these products may have a role in slowing down or preventing capsular contracture. In fact, I published a clinical paper on this very topic in December 2010 issue of our primary plastic surgery journal: Plastic and Reconstructive Surgery. However, even as an primary author of this study, it is... more

C. Bob Basu, MD
Houston Plastic Surgeon

Capsular Contacture Rates with Strattice

Recents studies show a trend towards reduced rates of capsular contracture with the use of alloderm. Similar thought process has been applied to strattice. If you are considering replacement of your implants for elective cosmetic reasons, I would strongly consider the risk of recurrent contracture. If you desire to proceed with re-augmentation, it is important to understand that there is no proven method to prevent recurrent contracture and further... more

Paul S. Gill, MD
Houston Plastic Surgeon

www.drpaulgill.com

Strattice to prevent capsular contracture

I have used Strattice a few times for recurrent capsular contracture, and it has been effective with more than a year follow-up. Since your contracture recurred early, i think it is a very good idea. It is unfortunately quite expensive but it is a unique product.

Richard Baxter, MD
Seattle Plastic Surgeon

Capsular contracture years after breast augmentation

All breast implants develop capsules shortly after they are placed. The question is what type of capsule will it be. That cannot be predicted before your body makes it. The capsules can be paper thin, a centimeter or two thick, contain muscle contracting like cells etc. Although Alloderm or other acellular dermal matrixes(ADM) may prevent the formation of bad contracting capsules I cannot logically see why that would be the case and to my knowledge that is have never been proven.... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Recurrent capsules

Yes, products like strattice or Alloderm seem to reduce the rate of capsules at least early on in the research, bu tno long term data is available yet.

Steven Wallach, MD
Manhattan Plastic Surgeon

Recurrent Capsular Contracture

Great question hard to answer. In Boca Dr Jason Posner is the PS wirth the most experience. Call him. From MIAMI Dr. Darryl j. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Recurrent capsular contracture: acellular dermis versus fat grafting.

Recurrent capsular contracture treatment with acellular dermal matrix is confusing due to the proliferation of biologic materials available. For example, some insist that Alloderm is superior to Strattice. You may want to skip the implants altogether and consider fat grafting for smaller sized augmentations in th erange of 250cc.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Recurrent Capsular Contracture

Recurrent capsular contracture can be a very troublesome issue, as you have found out. When this happens, many Plastic Surgeons (such as myself) will change out the implants (to address a possible bio-film), and then place a sheet of acellular dermal matrix such as Strattice between the implant and the scar capsule, and revising the capsule itself. While there are certainly no guarantees with this approach, most of us do find that our success rates may improve over simply... more

Gregory A. Buford, MD
Denver Plastic Surgeon

www.beautybybuford.com

Polyurethane covered implants do prevent recurrent capsular contracture

Dear Lady, although they aren't available on the US market anymore, silicone gel implants with a cover of polyurethane have a well-known and proven protective effect against capsular contracture, primary as well as recurrent. This, and the long-term safety of these implants has been confirmed by American surgeons who have used these implants for years before they were taken off the US market. We have been using these implants for over 10 years with great satisfaction. They... more