5 months ago I had a MM to include breast implants (530 cc natrelle implants in each breast, axillary incision). My ab lipo was end of April. Results were great! A week ago my right breast suddenly started feeling sore and then it began swelling, raising and getting warm & firmer. My Doc thinks It occurred too suddenly to likely be capsular contracture. He is treating me with antibiotics, medrol & Accolate. Any ideas what could be the cause? He’s not sure...yet.
Answer: Swelling, Hardening & Pain In My Breasts 5 Months Post Breast Augmentation - Cause? Capsular contractures can occur, but because of the circumferential 360 capsule squeezing in on itself, capsular contractures which can cause hardness and pain never cause enlargement because the word contracture means to pull in, not to push out.The symptoms you describe would seem to go along with a seroma or infection. If you were my patient, I would make a small incision at the base of your inframammary fold after getting radiologic studies to show if fluid is present. This drainage using a Seromacath with blunt tip would allow both in dwelling drainage and levage to occur, and also allow a culture and sensitivity to be sent to pathology.I recommend you follow your surgeon's instructions.
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CONTACT NOW Answer: Swelling, Hardening & Pain In My Breasts 5 Months Post Breast Augmentation - Cause? Capsular contractures can occur, but because of the circumferential 360 capsule squeezing in on itself, capsular contractures which can cause hardness and pain never cause enlargement because the word contracture means to pull in, not to push out.The symptoms you describe would seem to go along with a seroma or infection. If you were my patient, I would make a small incision at the base of your inframammary fold after getting radiologic studies to show if fluid is present. This drainage using a Seromacath with blunt tip would allow both in dwelling drainage and levage to occur, and also allow a culture and sensitivity to be sent to pathology.I recommend you follow your surgeon's instructions.
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Answer: Breast Augmentation Recovery Dear 7296321,Thank you for your question. Capsular contracture does not occur overnight, it is a gradual process that occurs overs week to months. Other causes of swelling pain and warmth (fluid collection, infection) would be extremely rare and unlikely 5 months after surgery. In addition to the above, any change in implants so quickly would warrant an MRI in my opinion. That will tell you if you have fluid, or if there is rupture of the implant.Good luck,Nirmal R. Nathan, M.D. Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgeons Real Self Hall of Fame
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Answer: Breast Augmentation Recovery Dear 7296321,Thank you for your question. Capsular contracture does not occur overnight, it is a gradual process that occurs overs week to months. Other causes of swelling pain and warmth (fluid collection, infection) would be extremely rare and unlikely 5 months after surgery. In addition to the above, any change in implants so quickly would warrant an MRI in my opinion. That will tell you if you have fluid, or if there is rupture of the implant.Good luck,Nirmal R. Nathan, M.D. Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgeons Real Self Hall of Fame
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July 3, 2019
Answer: Breast Swelling after augmentation Hello, Thank you for your question. It is extremely unusual to have infection this far out from operation. Most likely cause is capsular contracture which is early but could happen. I recommend to follow with your plastic surgeon closely. If the size of your right breast keep increasing then you might need a radiological study to evaluate the pocket and implants. Good Luck!
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Answer: Breast Swelling after augmentation Hello, Thank you for your question. It is extremely unusual to have infection this far out from operation. Most likely cause is capsular contracture which is early but could happen. I recommend to follow with your plastic surgeon closely. If the size of your right breast keep increasing then you might need a radiological study to evaluate the pocket and implants. Good Luck!
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July 2, 2019
Answer: Capsular contracture Dear 7296321, based on your description and symptoms, there is a chance that you have capsular contracture. Capsular contracture affects people approximately one in 20. No one knows exactly what causes it and what can prevent it completely. It's important for your doctor to use a minimal incision and a Keller funnel as a sleeve to protect the implant from touching anything before goes into the breast pocket. Singulair has been shown to prevent it Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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Answer: Capsular contracture Dear 7296321, based on your description and symptoms, there is a chance that you have capsular contracture. Capsular contracture affects people approximately one in 20. No one knows exactly what causes it and what can prevent it completely. It's important for your doctor to use a minimal incision and a Keller funnel as a sleeve to protect the implant from touching anything before goes into the breast pocket. Singulair has been shown to prevent it Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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August 1, 2019
Answer: Question After Breast Augmentation Hello! Thank you for your question. Capsular contractures don't suddenly appear overnight. (Though it is possible that the process was more gradual, and you only recently noticed the change.) Sudden swelling several months after the original procedure could be caused by a fluid collection or an infection. You should follow up closely with your plastic surgeon until you identify the cause of your condition and develop a plan of care. Best of luck! Matthew A. DelMauro, M.D.
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August 1, 2019
Answer: Question After Breast Augmentation Hello! Thank you for your question. Capsular contractures don't suddenly appear overnight. (Though it is possible that the process was more gradual, and you only recently noticed the change.) Sudden swelling several months after the original procedure could be caused by a fluid collection or an infection. You should follow up closely with your plastic surgeon until you identify the cause of your condition and develop a plan of care. Best of luck! Matthew A. DelMauro, M.D.
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