I made an apt with my surgeon a little after 3 months post op about my concerns. Harding of my left breast, bleeding from the nipple when massaging it, and very painful when massaging. I would squeeze it but it wouldn't squeeze very much because of how hard it's becoming. He said it wasn't Capsular Contracture it was the muscle, to take vitamin E, and to keep massaging vigorously but it keeps getting worse. How much would it be to fix it if that's the case? (silicone, 560, Natrelle, Allergan).
July 9, 2017
Answer: Capsular contracture Dear Motherhood3,Capsular contracture affects people approximately one in 20. No one knows exactly what causes it and what can prevent it completely. It's important for your doctor to use a minimal incision and a Keller funnel as a sleeve to protect the implant from touching anything before goes into the breast pocket. Singulair has been shown to prevent it. IN case of a capsular contracture, you would need a surgery. The exact cost of revision surgery is hard to predict because it depends on a lot of factors (type of surgery, surgeon's experience, anesthesia, facility fee, city, etc.). It would be the best to call a few plastic surgery offices to get information. In LA area, the cost of breast revision surgery is 6K-18K.Daniel Barrett, MD, MHA, MS
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July 9, 2017
Answer: Capsular contracture Dear Motherhood3,Capsular contracture affects people approximately one in 20. No one knows exactly what causes it and what can prevent it completely. It's important for your doctor to use a minimal incision and a Keller funnel as a sleeve to protect the implant from touching anything before goes into the breast pocket. Singulair has been shown to prevent it. IN case of a capsular contracture, you would need a surgery. The exact cost of revision surgery is hard to predict because it depends on a lot of factors (type of surgery, surgeon's experience, anesthesia, facility fee, city, etc.). It would be the best to call a few plastic surgery offices to get information. In LA area, the cost of breast revision surgery is 6K-18K.Daniel Barrett, MD, MHA, MS
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September 25, 2017
Answer: Looks like capsule formation and fold higher on left side While an exam is needed for determining capsular contraction it looks like capsule formation to me based on your description. You do have asymmetry before and after surgery which is normal but it looks like your right breast fold and implant are significantly lower. To look better you will need revision surgery. There is an asthma medicine that you can try twice a day for capsule contraction. It works in about 30% of patients. While fine to use the Periareolar surgical approach has a reported higher risk of capsule formation compared to a breast fold incision. Good Luck!
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September 25, 2017
Answer: Looks like capsule formation and fold higher on left side While an exam is needed for determining capsular contraction it looks like capsule formation to me based on your description. You do have asymmetry before and after surgery which is normal but it looks like your right breast fold and implant are significantly lower. To look better you will need revision surgery. There is an asthma medicine that you can try twice a day for capsule contraction. It works in about 30% of patients. While fine to use the Periareolar surgical approach has a reported higher risk of capsule formation compared to a breast fold incision. Good Luck!
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