Breast Augmentation/Capsular Contracture?

I’ve had 2 augmentations so far, both resulting in CC. My surgeon wants to try textured Silicone implants. He thinks I should give this a 3rd try. Is there a real possibility that the 3rd time could work for me? Or should I just cut my losses and get this one last surgery, remove implants, and call it a day? I am leaning towards removal. Sorry this is short. This site only allows a small amount of characters.

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capsular contracture silicone implant textured implants

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7 Doctor Answers | Asked by NH4Animals in Woodbridge, VA

Doctor Answers (7)
Community Comments (1)

Recurrent Capsular Contracture

I have had very good results with Strattice in the treatment of recurrent capsular contracture. I would speak with a surgeon familiar with its use. I would recommend a large, Contour 3 piece, inserted immediately following capsulectomy and implant exchange. In my experience, a textured surface implant exchange is much less predictable in prevention, and has other potential drawbacks.

Capsular contracture, firmness and breast options

Capsular contracture, firmness and breast options there are several options.. a form stable anatomic implant by sientra, fat injections only for a natural breast augmenttion... works well if you have some fat belladerm lattice etc can be added but its expensive call

Recurrent capsular contracture

I would like to have the details of the first post-op course and the second operation itself. If you had bruising after your first surgery, for example, this was likely the cause of the contracture. And if a capsulotomy (capsule not removed) was next performed, there is good reason to think you may have success with a capsulectomy (removing the capsule) and possibly placing new implants. If the contractures were on both sides, both times--much more likely to have continued problems. Best of... more

Strattice for capsular contracture

There are several issues to consider when you have recurrent capsular contracture. The main thing is to try something that has not been done previously, and going to textured implants might help but I think something more definitive should be considered. Another factor is that each time the scar capsule is removed there is loss of coverage and support for the implant. A Strattice graft has a very high probability of preventing the contracture in my experience and it also helps support the... more

Capsular Contracture

Sorry to hear that you are having trouble with capsular contracture. It sounds like removing the implants and the capsule did not solve the problem during your second surgery. In this case, I would suggest a different approach such as using an acellular dermis product such as Alloderm or Strattice to help prevent the capsule from forming. There are also some oral medications which you can take which may be helpful during the healing process. Good Luck. more

With repeated recurrences of capsular contracture, I'd try a more aggressive approach.

Capsular contracture has a high risk of recurrence. When I see a case such as yours, I try to do everything I can to minimize the risk. We have many different things that can decrease the risk of a repeat contracture. They include complete removal of scar tissue, changing the location of the implant (for example from a location above to below the muscle), placing acellular dermal matrix such as Strattice, postoperative leukotriene antagonists such as Singulair or Accolate... more

Redo breast augmentation

Unfortunately it is difficult for me to answer this without an exam. There are different approaches for this problem including removing all implant and capsules and redoing them 3-6 months later, as well as adding strattice with new implants after implant exchange and capsulectomy.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

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Comments (1)

NH4Animals 10 Oct 2012

The first augmentation was with Saline implants, under the muscle. Capsular Contracture, grade 2-3 followed less than a year after, with pain. My surgeon offered Silicone as the next option and I went for it. I've had these for almost 2 years and the Left Breast has maybe a grade 2 contracture (no pain) while the right breast is fine. So the textured implants are my "hail marry" so-to-speak. A number of you recommended a strattice graft, which I am googling to figure out exactly what that is. My surgeon has not brought this up, and I am wondering why. I am going to ask him to look into this as well.

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