Do I have capsular contracture? If so, what non-surgical options are available for me? (Photo)
Doctor Answers 11
Nonsurgical treatment of capsular contracture.
Capsular contracture treatment options
There are limited options. One other choice is the Aspen ultrasound device.. I have no personal experience but the reported results look good.
Non-surgical maneuvers for contractures
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Non-surgical options for capsular contracture
1. Use of Singulair
2. Use of Papaverine
3. Use of "B.I. Secret", a proprietary blend of herbal extracts - has helped a few of my patients
4. Therapeutic ultrasound
But mostly, for established cases, with very firm capsules, surgery is the answer. Perhaps you should speak with a plastic surgeon in your neighborhood.
Do I havre capsular contracture?
The problem is that the solution is surgical excision of the capsule. There are really no other options once the capsular contracture is established.
There are no proven safe nonsurgical options for capsular contraction.
Capsular contracture after Breast Augmentation / Contractura Capsular luego de una Aumento Mamario
La contracture capsular es una complicacion de la cirugia de aumento mamario con implantes de silicona que puede presentarse en cualquier momento luego de haber transcurrido un mes del procedimiento. Tus fotos son muy pequenas y no podemos distinguir detalle alguno o deformidad. Sabes el tipo de implante y marca que te colocaron y si fue debajo del musculo o delante del mismo? Han estado con consistencia dura desde el principio o percibiste esto recientemente? Se sienten iguales ambos lados al toque? Te recomiendo agendar una cita con un cirujano plastico en tu localidad miembro de la ASAPS.
Do i have capsular contracture: probably
Using medications, such as Singulair and other "leukotriene inhibitors" has been almost universally disappointing. While it is possible to reduce the degree of contracture slightly, the results are never sufficient to give a patient a satisfyingly soft outcome.
Massage, which isn;t actually massage, but really forced "implant displacement", which aims to stretch the capsule and keep the space generous...is less effective at preventing contracture than was once thought, and is pretty much useless for established contracture.
The most effective treatment is surgery, and what surgery needs to be done depends on whether your implants are above or below the muscle. Sub-glandular implants ( above the muscle) can often be removed and replaced under the muscle with removal of the entire capsule ( capsulectomy)and a soft result is usually the outcome, although the contracture rate is still higher than it is with primary ( first time out) augmentation under the muscle.
Capsulotomy, or expanding the space only, is rarely a long term effective solution with implants above the muscle but may be effective with them below. If they are below already, the risk of recurrent contracture after capsulotomy is significant. I would not suggest immediate use of acellular dermal matrix as it is expensive and though some reports are encouraging it is unclear whether the enthusiasm is warranted as yet.
Current thinking suggests contracture may be related to low level bacterial growth from organisms living in and around the breast tissue, and that when contracture is a problem replacing the existing implants may improve the chance of success
You do also have the option of removing your implants, although I doubt at this point you want to consider that.
You should see a qualified plastic surgeon. Australia has a very good plastic surgery community.
Capsule contracture options
All the best,
Dr. Remus Repta
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