What is the Likelihood of Repeated Capsular Contracture with Implant Replacement and Position?

I developed Baker Grade IV capsular contracture within a year of getting silicone implants above my muscle. Years later my ps replaced them with saline and within a year or so I had Baker Grade IV again. A different ps now suggests that I undergo revision surgery to remove my scar tissue and implants then replace with saline but this time below my muscle. Given my history, isn't it more likely than not for me to develop capsular contracture even with a submuscular placement?

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3 Doctor Answers | Asked by Teresa in CT

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What to do for repeat capsular contracture

Repeat capsular contracture may require a different implant algorithm that includes removal of the entire capsule and replacment of the breast implant. There are available options for treatment, however.

Repeated capsules

If you have had repeated capsules, it may be a good idea to try new implants, and place strattice inside as well. It is thought that the strattice may decrease the risk of capsule formation.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

What is the Likelihood of Repeated Capsular Contracture with Implant Replacement and Position?

Yes. The more you've had, the more likely that you will get another after surgery. Speak to your surgeon about using an ADM--acellular dermal matrix, such as strattice for any additional surgery. This seems to have a significantly lower recurrence rate in terms of capsular contracture than the other techniques. It is pricey though, but not if you compare with repeated unsuccessful surgeries. Thanks, and best wishes.