Are There Measures to Prevent Cc when Having a Revision Surgery?

I had ones Dr tell me there are ways of preventing this from happening again and another that said there is no way to tell if a cc will happen again

Doctor Answers (5)

Capsular contracture

+2

There is some evidence that the recurrence of Capsular contracture (CC) is reduced if a total capsulectomy is performed rather than a partial (50% vs 11% recurrence respectively in one study).

Additionally, use of a textured implant in the submuscular position is advisable.


New Haven General Surgeon
5.0 out of 5 stars 3 reviews

Are There Measures to Prevent Cc when Having a Revision Surgery?

+2

        The truth is that no one fully understands the entity of capsular contracture.  There are things that are associated with treatment that can reduce the risk such as dermal matrices, total capsulectomy rather than anterior capsulectomy or capsulotomy, submuscular placement, etc.  Find a plastic surgeon with ELITE credentials who performs hundreds of breast augmentations and breast augmentation revisions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 237 reviews

Capsular contracture

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Techniques used to decrease the recurrence of capsular contracture include preventing bleeding, systemic antibiotics, placing a drain, washing the pocket with a triple antibiotic solution, using an acellular dermal product, and placing the new implant under the muscle.  Best of luck.

Christopher J. Davidson, MD, FACS
Wellesley Plastic Surgeon
4.5 out of 5 stars 17 reviews

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Preventing Capsular Contracture

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Important factors in reducing the incidence of capsular contracture include control of bleeding, prevention of infection, and placement of the implant in the submuscular plane.

Once you have capsular contracture, the risk increases with each additional surgery. The use of Strattice, inserted between the infra mammary fold and the lower edge of the muscle, has shown promise in reducing recurrent capsular contracture.

Karen Vaniver, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 18 reviews

Strattice to prevent recurrence of capsular contracture

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Acellular dermal matrix materials such as Strattice are very effective in minimizing the risk of recurrent capsular contracture. Although they are expensive, they are cheaper than having a third surgery for another recurrence.

Richard Baxter, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 28 reviews

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.