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To visualize a clinically significant breast capsule after explant, the most sensitive radiographic test is MRI, followed by ultrasound. If a thick capsule was left behind, both of these studies have high sensitivity for detection. CAT scan is not thought to be as sensitive, but can be useful in some circumstances.Hope this helps! Sam Jejurikar, MD
Dear MonicaAW,if your capsules were thin, then there was no need to remove them as your body will remove the remaining capsule and it will not show on MRI or ultrasound. However, in case of capsular contracture capsules are thick and can be easily seen on MRI or ultrasound. Most plastic surgeons will try to remove the entire capsule in case of contracture. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
Leaving a capsule behind is preferred if it is thin and pliable. If there are calcific components, or silicone granulomatous material, or if the capsule is deforming the breast tissue, then removal of the capsule may be warranted. If the capsule is left behind, the body will break down and remodel the scar tissue on its own.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA
Depending on the qualities of the capsules, they may or may be detected in tests. If the capsules are thin, they may not be visible even with sensitive tests. Thickened capsules may be able to been seen from an MRI or ultrasound.
If the capsule is normal (thin) it is likely that all the forms of radiographic imaging you mentioned will not detect a specific capsule (as opposed to "post surgical changes"). On the other hand, if the capsule is thickened and/or calcified, a distinct layer may be identifiable on the imaging scans you noted mentioned. I hope this helps.
Hello, and thank you for your question. (Keep in mind that an in-person consultation is necessary for the best advice.) Fat grafting can increase the volume and fullness of breasts. Usually patients must undergo multiple rounds of fat grafting to achieve their desired volume and fullness. This...
Thank you for your questionIf the bleeding is active and not stopping, dropping I do recommend you check again with you plastic surgeon. Best Wishes Dr Genevieve FCaron, Board Certified Plastic Surgeon Montreal, Canada
Hello, and thank you for your question. (Keep in mind that an in-person consultation is necessary for the best advice.) Every plastic surgeon has his/her own postoperative protocol and recommendations for postoperative care. So answers here will vary. Wearing a compression garment collapses the...