I had a lift and implants done two and a half years ago. I recently noticed that one breast seemed higher and firmer with slight discomfort now and then. After consulting with my doctor, he said I have Capsular Contracture. I have been reading up on it, specifically to see if this is something that could have been prevented. He said that most patients, although small in percentage, have the tissue taken out and/or a new implant. I know I paid top dollar for a very reputable surgeon. Am I wrong in thinking this should not have happened? Also, should this additional procedure be covered financially by the doctor? What are my "rights" in a situation like this?
October 5, 2010
Answer: Development of capsular contracture
Although you may feel upset about the capsular contracture, there are many ways to correct the problem and minimize your risk of developing complications associated with it. I would advise you to speak with your surgeon about those options. He will provide insight into the development of the capsular contracture and its causes.
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October 5, 2010
Answer: Development of capsular contracture
Although you may feel upset about the capsular contracture, there are many ways to correct the problem and minimize your risk of developing complications associated with it. I would advise you to speak with your surgeon about those options. He will provide insight into the development of the capsular contracture and its causes.
Helpful
June 8, 2010
Answer: Capsular contracture does not mean your surgeon did anything wrong.
Capsular contracture is a risk with all breast augmentation procedures regardless of the surgeon. The reported incidence is anywhere from <1% to as high as 17%. In my experience, it is much closer to the former, but not nearly that low. Nevertheless, because we do not know the specific trigger, it is impossible to "do something" to prevent contracture. There are various treatment options and your surgeon should discuss these with you and minimize the cost of any chosen treatment.
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June 8, 2010
Answer: Capsular contracture does not mean your surgeon did anything wrong.
Capsular contracture is a risk with all breast augmentation procedures regardless of the surgeon. The reported incidence is anywhere from <1% to as high as 17%. In my experience, it is much closer to the former, but not nearly that low. Nevertheless, because we do not know the specific trigger, it is impossible to "do something" to prevent contracture. There are various treatment options and your surgeon should discuss these with you and minimize the cost of any chosen treatment.
Helpful
January 7, 2009
Answer: This can happen to anyone! Unfortunately, capsular contracture is a very well known complication of breast implant surgery that can happen to anyone at any time. To make matters even more confusing, we really don't completely understand why it happens or who it will happen to. Some people are at higher risk in general, and it may occur early after implanmt surgery or late (even many years later!) There are certain surgical maneuvers which can be performed to help decrease the chances of it occurring, such as trying to prevent infection, washing the pockets out with antibiotics and mainting excellent hemostasis with complete prevention and control of intraoperative bleeding and excellent technique. These should help guard against early capsular contracture (as in a few weeks to months after surgery). In addition, the placement of implants in a submuscular or dual plane location, as opposed to under the gland only, is thought to help prevent later capsular contracture. Late capsular contracture is a big unknown, however, and everyone is at risk! As for the treatment - your doctor is correct - the treatment is surgical in nature: usually the capsule is removed and the implant replaced. All practices handle the costs differently. I do not charge my patients (the ones in whom I placed the original implants) for surgery to correct this condition; however they are responsible for the OR fee, anesthesia, and the cost of a new implant (if necessary) and patients are made aware of this policy (as well as the possibility of capsular contracture occurring) at the original augmentation consultation. Good luck and I am sorry that you are dealing with this unfortunate, but well known, complication of breast implant surgery.
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January 7, 2009
Answer: This can happen to anyone! Unfortunately, capsular contracture is a very well known complication of breast implant surgery that can happen to anyone at any time. To make matters even more confusing, we really don't completely understand why it happens or who it will happen to. Some people are at higher risk in general, and it may occur early after implanmt surgery or late (even many years later!) There are certain surgical maneuvers which can be performed to help decrease the chances of it occurring, such as trying to prevent infection, washing the pockets out with antibiotics and mainting excellent hemostasis with complete prevention and control of intraoperative bleeding and excellent technique. These should help guard against early capsular contracture (as in a few weeks to months after surgery). In addition, the placement of implants in a submuscular or dual plane location, as opposed to under the gland only, is thought to help prevent later capsular contracture. Late capsular contracture is a big unknown, however, and everyone is at risk! As for the treatment - your doctor is correct - the treatment is surgical in nature: usually the capsule is removed and the implant replaced. All practices handle the costs differently. I do not charge my patients (the ones in whom I placed the original implants) for surgery to correct this condition; however they are responsible for the OR fee, anesthesia, and the cost of a new implant (if necessary) and patients are made aware of this policy (as well as the possibility of capsular contracture occurring) at the original augmentation consultation. Good luck and I am sorry that you are dealing with this unfortunate, but well known, complication of breast implant surgery.
Helpful 1 person found this helpful