Breast Implant Revision: Q&A
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Pre Breast Implant Revision: Best Way to Treat Capsular Contracture?
I have a second case of cc. My ba was 3/4/10, 371 silicon, overs. Within 3 months I developed cc. I had a capsulotomy 6/10 and then a capsulectomy 10/10. The cc returned 3 months later. My PS reused the same implant.
PShe now says she will try placing the implant under and using statisse, if I would like to try that. I have one breast that has been problem free. I was borderline for a lift before and I am now wondering if I should just go ahead and have a lift and put both under. Advice? Cost?
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12 Doctor Answers |
Asked by
karenbest
in Amarillo, TX
+6
Implant revision: Utilizing the subfascial plane
I agree with some of the concepts below with a couple subtle differences. Firstly I do not like the idea of placing a second foreign body such as stratice, this only gives more immunopriveledged material for bacteria to propagate and is absorbed over time. My preference is to convert to a subfascial plane which not only offers true support that lasts but also is an extremely well vascularized structure. I do not like submuscular placement because of the animation(movement)...
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+2
Capsular contracture and new implants
Capsular contracture remains the most common complication after breast augmentation. It is equally frustrating for the patient and the surgeon. Today, we have better knowledge about its formation. We believe that if forms as a result of a low grade contamination from the body of the breast or the surgical experience. The contamination causes a bio-film around the implant that is impenetrable with antibiotics. So the latest teaching and experience dictates the following
Change of...
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+2
The Dreaded Capsule, What to do?
Capsular contracture remains one of the most frustrating end points for women who have enjoyed the joy of having breast augmentation or reconstruction. The best solution is prevention! Vigorous early post operative message is imperative and must be instituted as early as the patients discomfort will allow. The genesis of capsular formation is very complex and full of a bunch of long confusing hard to pronounce words. Suffice it to say that a capsule is laying down of more protective...
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+2
Capsular contracture dilemma
This sounds like you have had a rapid entry into the perplexing world of capsular contracture. I'm sure that as distressed as you may be, your surgeon is equally so. If you ask five surgeons make a recommendation, you'll probably receive five reasonable alternative treatments. There is one definite procedure that will work: remove your implants. This recommendation is rarely followed, since most patients are initially happy with their breast augmentation, and did not desire to return...
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Treatment options with established capsular contracture
Dear Karenbest,
Capsular contracture is the Achilles' heel of Breast Augmentation. Strange and vexing thing is that capsular contracture usually occurs on one side and sparing the other. When in doubt, I believe that it is wise to seek another board certified Plastic Surgeon's advise. Without photos, no one can really speak to you regarding advisability of a breast lift. Consider these options:
1) new implant
2)submuscular reposition of your...
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+2
Pre Breast Implant Revision: Best Way to Treat Capsular Contracture?
Difficult situation as described by you. Best to obtain 3 second opinions from boarded PS's in your area. Since no photos were posted very hard to give definitive advise.
+2
Lift and strattice
Without an exam it is difficult to say what would best accomplish your goals. Strattice may help with capsular contracture reconstruction.
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Best Way to Treat Capsular Contracture
Best way to treat capsular contracture would be to remove the old implant and capsule, and to insert a new implant. Use of Strattice is not routinely necessary. You may consider a second opinion.
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Best Way to Treat Capsular Contracture?
Capsular Contracture, the hard scarring seen with up to 15% of breast implants is seen MORE in cases where there was excess blood in the breast pocket (aggressive blunt dissection or post-operative bleeding), foreign bodies, or microbial contamination or later sub-clinical infection. Placement of implants over the muscle (aka "overs") is associated with a higher rate of capsular contracture most likely due to colonization from bacteria in the breasts ducts.
Once capsular...
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+2
Reaugmentation with Strattice
Recurrent capsular contracture after capsulectomy happens more frequently than we like. My treatment of choice for your problem is to do complete capsulectomy with submuscular conversion, placement of new implants, Strattice (large piece) and a drain. Can't comment on need for lift without pictures. The latest data on Strattice for capsular contracture is very low recurrence rates.
+2
Use Strattice and new implants for recurrent capsular contracture
With difficult capsular contracture cases, under muscle with new implants is usually a good idea, and we have had very good results with Strattice in preventing recurrence. The most common cause of capsular contracture with breast implants is believed to be an invisible biofilm on the surface of the implant, which cannot be removed but triggers an inflammatory response.
+2
Please send your pictures
You should have another consultation for second opinion . The return of capsular contracture is rare but happens. You should consider having the implants out and using new implants 3 months later. The other option is implant removal and fat grafting.Doing the same surgery after having the undesired result is not wise and you may have to consider alternatives.
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