Capsular contracture. What would you advise?

Question

I have a mild case of capsular contracture in one breast. It developed around 8 months after surgery, it has been treated with accolate but hasn't changed. What are the chances that it will continue to get worse? One side is soft and the other more firm.

Luis A. Mejia, MD · Answer

Hi... Thank you for the question, Yes with time these could have more changes, on shape, hardness and even pain, generally with a capsulotomy or capsulectomy depending on the case and implants change these could be solved.

Mark A. Schusterman, MD, FACS · Answer

If you have a mild case if may be treatable with a total or partial capsulectomy.  I doubt it will resolve without surgery and it may get worse but that is difficult to predict.

Marc J. Salzman, MD, FACS (retired) · Answer

In my experience, if Accolate does not work in the first month to 6 weeks, it probably is not going to work. One of the mainstays of non surgical treatment for capsular contracture has been the application of therapeutic ultrasound. Specific protocols for breast have been described. Recently in our office, we have had good success with a therapy called z-wave. The z-wave machine produces linear sound waves that stretch the capsule back to being soft. If neither of those work or not be available, the surgical release may be necessary. Following up with your plastic surgeon is recommended.

Brooke R. Seckel, MD, FACS (retired) · Answer

A significant capsular contracture is unlikely to get better without surgical intervention.  Capsulectomy to remove the capsule and insertion of a new implant wrapped in acellular dermal matrix is current recommended treatment.

Capsular contracture. What would you advise?

Answers (4)

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