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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.
Fat grafting can be successful after breast implant removal. Some of the success will depend upon existing tissue available for receiving the fat. The fat grafting will likely take several sessions to produce a similar result unless the breast implants were extremely small. Find a board cer...
Breast explant and capsulectomy surgery can be complicated by bleeding and in this case the bleeding is escaping through the incision. This is especially so when a capsulectomy is done instead of a capsulotomy. The capsule has to be dissected of the muscle and sometimes the ribs as well. Some ...
Post op protocols will vary from surgeon to surgeon. Your best resource for guidance is your surgeon.That being said, most recommend some form of compression or support garment for 6-8 weeks. The goal of compression to eliminate dead space and facilitate adherence of the tissue layers. Post...
The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity. I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with. Finally, make sure your surgeon is...
Capsular contracture does case pain. As well, the weight of the implants could be contributing to your back pain. However, there are numerous other reasons that you could be experiencing back pain. It is best to have a more thorough discussion regarding your symptoms and to have an exam pe...
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