My first surgery was done through areolar incision. After 28 years I developed capsular contracture. Decided to switch from saline to silicone and fix CC. The surgeon performed total Capsulectomy through inframammary incision. On my 2 week appt. he said i developed capsular contructure again. i went for a second opinion, where i was told that most likely the capsular was not completely removed as i could not have developed CC that quick. Can partial capsulactomy happen due to different incision?
Answer: Problems after surgery to treat capsular contracture Your photo does not help surgeons like myself give you relevant or helpful information other than what you were told: after a capsulectomy, especially the most appropriate kind - a total capsulectomy - there is no capsule around the implant after surgery and it takes about three months for one to fully form. The concept of early contracture is likely a fluid accumulation that makes the breast look full or hard, so that's a possibility. Alternatively, scar capsule was either incompletely removed (partial capsulectomy) or simply just cut and left in place (capsulotomy). Usually drains are placed after a capsulectomy. Did you have any?
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Answer: Problems after surgery to treat capsular contracture Your photo does not help surgeons like myself give you relevant or helpful information other than what you were told: after a capsulectomy, especially the most appropriate kind - a total capsulectomy - there is no capsule around the implant after surgery and it takes about three months for one to fully form. The concept of early contracture is likely a fluid accumulation that makes the breast look full or hard, so that's a possibility. Alternatively, scar capsule was either incompletely removed (partial capsulectomy) or simply just cut and left in place (capsulotomy). Usually drains are placed after a capsulectomy. Did you have any?
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Answer: Capsules The inferior incision carries the lowest risk of capsule formation and I have seen thick capsules develop in just a few weeks, usually from a low-grade infection or bleeding. Try oral Accolate and external ultrasound treatments to soften this new capsule.
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Answer: Capsules The inferior incision carries the lowest risk of capsule formation and I have seen thick capsules develop in just a few weeks, usually from a low-grade infection or bleeding. Try oral Accolate and external ultrasound treatments to soften this new capsule.
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August 24, 2024
Answer: Capsular contracture Dear lanakrtolica1, capsular contracture happens. In fact, every implant has a capsule form around it, its just a certain percentage develop thick capsules. There is a lot we don't know about it actually. Some think that bacteria that gets on the implant during insertion can increase the risk. Thats why we use a Keller Funnel in our practice to reduce that possibility. Our capsular contracture rate is less than 2% because we use a keller funnel as well as meticulous operating room techniques. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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August 24, 2024
Answer: Capsular contracture Dear lanakrtolica1, capsular contracture happens. In fact, every implant has a capsule form around it, its just a certain percentage develop thick capsules. There is a lot we don't know about it actually. Some think that bacteria that gets on the implant during insertion can increase the risk. Thats why we use a Keller Funnel in our practice to reduce that possibility. Our capsular contracture rate is less than 2% because we use a keller funnel as well as meticulous operating room techniques. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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August 23, 2024
Answer: Capsular contracture. Thank you for your question. I have been in practice for almost 30 years and a large portion of my practice is dedicated to revision breast surgery. It is very unusual to develop capsular contracture within 2 weeks after surgery. Your surgeon probably did indeed perform a total capsulectomy and you do not need the whole capsule removed to treat capsular contracture. If it does get hard that quick sometimes it is related to a hematoma and that should be evaluated very quickly. Additionally, I would avoid anything containing vitamin C and start you on Accolate. Accolate is a antiasthma drug that has been shown to diminish capsular contracture. At this time, unless you have a hematoma, there is nothing to do but wait or perform explantation. Best wishes to you.
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August 23, 2024
Answer: Capsular contracture. Thank you for your question. I have been in practice for almost 30 years and a large portion of my practice is dedicated to revision breast surgery. It is very unusual to develop capsular contracture within 2 weeks after surgery. Your surgeon probably did indeed perform a total capsulectomy and you do not need the whole capsule removed to treat capsular contracture. If it does get hard that quick sometimes it is related to a hematoma and that should be evaluated very quickly. Additionally, I would avoid anything containing vitamin C and start you on Accolate. Accolate is a antiasthma drug that has been shown to diminish capsular contracture. At this time, unless you have a hematoma, there is nothing to do but wait or perform explantation. Best wishes to you.
Helpful 1 person found this helpful