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Surgeon Squeezed my Encapsulated Breast. 16 Months Post Op. Is This Ok?

16 mtg postop.Dr.said he did not like how high my right breast was sitting or howhard it felt. He was squeezing the tighter breast and told me it was encapsulated with scar tissue? He was squeezing a little harder when I experienced a loud sound. I then felt very light headed. said he never had scar tissue break so easily. Should I have surgery performed to remove the capsule our just assume that the breaking took care if out? pain after the squeezing.could I be bleeding inside? 2nd aug/450cc.

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6 Doctor Answers | Asked by Amandaloo

Doctor Answers (6)
Community Comments (2)

Pop after Squeeze of Breast with Capsular Contracture

The pop was the sound of a closed capsulotomy, which may give temporary relief of contracture. This does not fix the problem in the majority of cases.

Treatment of Breast Implant Encapsulation?

Thank you for the question. Breast implant encapsulation is a frustrating problem that can occur after breast augmentation surgery. Based on the severity of the encapsulation, treatment options will vary. If breast implant encapsulation occurs, some surgeons would recommend treatment with anti-inflammatory such as Accolate or Singulair. If, at this point, your breasts are soft and the impulsive and good position I would suggest that you avoid any surgery. However,... more

Closed capsulotomy

It sounds like you surgeon performed a closed capsulotomy. However this is only a temporary fix. If you have a capsule and it is tight, you probably need a revision.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

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Capusle popping?

Hello and thanks for the question. The procedure you described is called a closed capsulotomy. It is still performed, but not recommend by many surgeons because the capsule tends to come back in the same fashion after it heals. There's also a risk the breast implant could be ruptured by the pressure, so hopefully your surgeon discussed these facts with you. The standard therapy for severe contracture is surgery to remove the scar tissue and exchange the breast implant. See a board... more

Aldo Guerra, MD

63 reviews

Scottsdale Plastic Surgeon

Closed capsulotomy vs open capsulectomy

Hello, Thank you for the question. It sounds like your plastic surgeon suspected you had a capsule contracture and he performed a closed capsulotomy. If this is the case it might be that you may not need any further treatment, however, in most instances the capsule reforms and the breast characteristics return. At that time a full capsulectomy would be indicated which involved the removal of the entire breast capsule and replacing the implant. All the best, Dr... more

Hello

Squeezing of your breast is the way they used to take care of the encapsulation before. If you’re not having any issue now you should be ok. Maybe getting a second opinion would be good.

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Comments (2)

Amandaloo
6 months ago

P.s. when he did the aug last test he also did a lift and made my nipples smaller. He took to much skin off the bottom if my left nipple. That in conjunction with heavier implants had resulted in so very inverted nipple. He wants to fix this free of charge also. He said it its like giving so button? Shipping whatever is holding the nipple back. Its this common? Are there any better technique I should ask for?

Amandaloo
6 months ago

If he us offering to fix this for free should i do it? He explained that his intentions weren't to break the capsule, just to get a feel of it. He explained that the accidental procedure is rarely used now.I amsupposed to waita few weeks to see how things develop.should I ask him to gof ahead and perform the procedure? I am getting a second opinion on monday Dec.10th.

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