Who Does the Squeeze Release of Breast Encapsulation

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encapsulated squeeze

11 Doctor Answers | Asked by MSANNE in THE WOODLANDS TEXAS

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Squeeze technique to release capsular contracture

This is not done anymore. The technique can rupture the implant and possibly force the silicone gel out into the breast tissue, which may be difficult to remove. It also is not usually effective as a long term treatment, as the contracture tends to recur.

Not Recommended Squeeze Release Technique

This is an older technique where the doctor would fracture the capsule around the implant in hopes of relieving pain and giving the patient aesthetic improvement. It was found that patients had a high risk of bleeding from the tear in the capsule and that the problem would frequently recur. We now recognize the underlying problem, and recommend a capsulectomy (scar removal procedure), which has a very high success rate in treatment of capsular contracture with a much lower... more

Avoid Closed Capsulotomy

The answer to your question is….”Hopefully no one.” Closed capsulotomy has not been performed for many years and is a barbaric way of addressing a capsular contracture. In addition, it was not very successful as the recurrence rate for capsular contracture was high, and there was additional risk for hematoma, implant rupture, and extracapsular gel migration. Capsular contracture is best managed with a controlled surgical capsulotomy and/or capsulectomy, and implant... more

Closed capsulotomy

Squeezing an encapsulated breast implant in the hopes of resolving a capsular contracture is of historic value only. This practice fell out of favor over 15 years ago. The idea of applying force to tear open the capsule caused bleeding, implant rupture and on occasion would force silicone into the breast tissue further complicating the problem and eventual required surgical correction. It is a bit concerning that you even know what this is. Do not allow anyone to perform this... more

"Squeeze Release" (Closed Capsulotomy) of Breast Implant Encapsulation

Tightly squeezing / crushing a breast with capsular contracture in the hope the scar tissue around the implant would be torn by the pressure was referred to as a CLOSED CAPSULOTOMY. It was a "procedure" done in the surgeon's office after the patient was given a sedative and the surgeon applied force to the breast with both palms locked on the breast until a tearing or popping sound was heard / felt. Unfortunately, the success rate was very short-lived and it was associated by a... more

Capsular contracture treated with manually applied pressure

I know of no one that is currently practicing this technique; the hope was that by applying sufficient force manually, that one could break or release the tight capsule about the breast implant. Unfortunately, the release if effective was only short lived, and often produced additional problems including rupture of the implant, bleeding, hematomas, as well as voiding the warranty from the implant manufacturers. Currentlly patients are better served with open capsulectomies and... more

Open treatment of capsular contracture is the way to go

The squeeze release of capsular contractures, or closed capsulotomy, has been discredited for years. There is a high chance of implant rupture as well as injury to the surgeon's hands. An open capsulotomy or capsulectomy is the standard treatment. Personally, I have had more success with capsulectomy, removal of the capsule.

Capsular Contracture Following Augmentation

I am not certain of exactly what you are referring to when you state "squeeze release". I think that you may mean a closed capsulotomy in which the capsule is broken up by directly squeezing on the scar which forms around the implant and is the capsule. This has been declared a procedure which should not be performed by the FDA for fear of rupturing the implant and is no longer practiced.

Closed capsulotomy

Closed capuslotomies are not recommended anymore. They are frought with complications like hematomas, ruptured implants, and a high rate or contracture recurrence. It can even injure the surgeon.

Steven Wallach, MD

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Manhattan Plastic Surgeon

The squeeze release, closed capsulotomy

Many years ago with subglandular silicone gel breast implants a squeeze release of the capsular contractures was very common. The result was rupture of the implants with gel escaping into the breast tissue and further scaring and breast deformities. The closed capsulotomy is now an obsolete technique and best avoided. Best of luck, peterejohnsonmd

Closed capsulotomy isn't done anymore

What you are referring to is called a closed capsulotomy and to my knowledge hasn't been practiced since the late 1980's. It can rupture the implant and if the implant is an old kind of gel and if it is already ruptured, it can allow the escape of the gel into the tissues.