Open Capsulotomy Didn't Fix my Problem. What to Do Now?

I just recently (1 week to be exact) had a open capsulotomy and i was advised by my PS to use the strap for atleast 3 weeks for my left breast to settle like my right one. The problem is I really don't see a difference, the upperpole is still noticiable on my left breast.. I'm really depressed, I feel like nothing is fixing the problem. I have 550cc silicone implants under the muscle, has them done 10 months ago.

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7 Doctor Answers | Asked by Ruby23. in Texas

Doctor Answers (7)
Community Comments (0)

Capsulotomy vs capsulectomy

I assume you are talking about a capsular contracture problem here. In some minor cases, a capsulotomy (cutting the capsule like splitting a tomato over a flame) is enough and in more severe cases a capsulectomy (removal of the capsule and placement of a new implant) is best. Maybe you need to discuss further with your doctor.

Early capsulotomy results disappointing

Doctors may have different opinions, and experiences, and here are mine. I have had patients just like you over the years and more times than not, with patience, things are just fine. I make it a point to inform patients several times not to expect the implants to start to drop before between 3 and 4 weeks after surgery, and sometimes longer. And this is with a band. I have found that when I forgot to drive this very important point home BEFOREHAND, patients... more

Breast capsule issue

Capsulotomy for a capsular contracture is often not the best way to treat a contracture. However, sometimes it is difficult to remove the entire capsule.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast shape problems after a segmental capsule release

You developed a capsular contracture and had a capsule tommy or scoring of the capsule this may have only been do in the inferior segment to get that breast to drop in to a better position. Give it some time, if this is not successful after 3-6 months then you may consider a capsulectomy or removal of the entire capsule.

Capsulotomy not working, now what

If you are talking about capsular contracture, capsulolomy is effective, though capsule recurrence is seen half of the time. If your issue was reposition of a high implant, you should wear the band and wait things out before you decide what is next.

Revision

It will take 6-12 weeks for the tissues to stretch and allow the implant to drop. It may or may not be successful, but you need to wear the band and give it a chance.

Open Capsulotomy Didn't Fix my Problem. What to Do Now?

Without looking at photos, I find it impossible to make any suggestion other than to follow your surgeon's instructions. Getting a second opinion is another alternative, though nothing would likely be offered without waiting several months to see if the implant doesn't drop. It would be helpful to know if the surgeon felt these looked even in the operating room. If so, I wouldn't give up hope! All the best.