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Have Had Encapsulation With Saline Implants, Than Again After Revision. What Are My Options?

asked 4 months ago by SE Smith in Sykesville, MD
Latest answer by Steven Wallach, MD
Question viewed 84 times
Tags: encapsulated, options, reoccur , saline to silicone

I Had Saline Breast Implants 6 Years Ago.  I Had my Left Breast Implant Replaced Due to an Encapsulation.  Within 4 Months I Had an encapsulation again on the same left side. At that time I replaced both implants with silicone. Now 3 years later I believe I am experiencing encapsulation again on my left side. what are my options?

4 answers to Have Had Encapsulation With Saline Implants, Than Again After Revision. What Are My Options?

+1

Capsule formation

Some patients develop capsular contractures more than others. Recently surgeons have been using strattice while removing the implant capsule and exchanging the implant. This has been found in some studies to help.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Strattice for recurrent capsular contracture

When implants are replaced for capsular contracture, it is usual to place them in a new pocket so I will assume that if they were above the muscle then they are already under. The use of what is called "acellular dermla matrix" such as Strattice or Alloderm has been very helpful in my experience with recurrent capsules. Strictly speaking the "on-label" use is to replace the tissue that was removed with the capsulaectomy.
Richard Baxter, MD

Seattle Plastic Surgeon
+1

Recurring capsular contracture

The best we have done for capsular contracture is replacement in a new pocket, with recurrence rates near 50%. An allograft has been recommended 'off label' to reduce the recurrence rate but evidence so far is not conclusive. A very few will give up on implants altogether, and many more live with the firmness. Best of luck, peterejohnsonmd.com
Peter E. Johnson, MD

Chicago Plastic Surgeon
+1

Multiple capsular contractures

Some folks just can't have implants and maybe you are one of those. So one option is to have them out and be done with the frustration. The other is to go into another pocket, preferrably below the muscle if you are currently above. You didn't mention anything about that. The last is experimental and would be to do a complete scar removal and add Alloderm or Strattice to the pocket as these dermal substitutes are anecdotally being felt to possibly decrease... more
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

www.randcosmeticsurgery.com

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