I got implants June 2013 (silicone under) and had CC within a couple months. Had a redo June 2014. 3/12 months later have it again in the same breast. The second time a capsulectomy with new implants (saline) under the muscle. The dr used the keller funnel. Been takin singular for 3 months (started 2 weeks post op). My CC is back. Is there much success with your experience of women having another capsulectomy (my third try)? When do you tell you patients to just give up & remove the implants?
Answer: Recurrent capsular contracture Had this question been posed 10 years ago, then the answer would be either to live with the capsular contracture or give up and remove them. However, beginning in 2005 investigation in difficult patients such as yourself using ADM's began. ADM's are Acellular Dermal Matrix grafts. They are essentially skin grafts harvested from either pigs or cadavers. All the cells are removed and what is left is the collagen framework of skin. Using these ADM's to cover the implant essentially prevents any capsule from forming. There are numerous studies demonstrating a very high success rate to prevent contracture. There is some evidence that human ADM (Alloderm and Belladerm) are superior to animal ADM (Strattice). Personally, I prefer Belladerm.Good luck,Ary Krau MD FACS
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Answer: Recurrent capsular contracture Had this question been posed 10 years ago, then the answer would be either to live with the capsular contracture or give up and remove them. However, beginning in 2005 investigation in difficult patients such as yourself using ADM's began. ADM's are Acellular Dermal Matrix grafts. They are essentially skin grafts harvested from either pigs or cadavers. All the cells are removed and what is left is the collagen framework of skin. Using these ADM's to cover the implant essentially prevents any capsule from forming. There are numerous studies demonstrating a very high success rate to prevent contracture. There is some evidence that human ADM (Alloderm and Belladerm) are superior to animal ADM (Strattice). Personally, I prefer Belladerm.Good luck,Ary Krau MD FACS
Helpful 2 people found this helpful
Answer: Strattice for recurrent capsular contracture Strattice is an acellular dermal matrix (ADM) that is used for an internal bra and is often effective at protecting against recurrent contractures. Every time you have a capsulectomy some of the supporting tissue around the implant is removed, and Strattice also adds that coverage and support back. Given your history of a recurrent contracture, another capsulectomy without Strattice probably has a lower chance of success.
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Answer: Strattice for recurrent capsular contracture Strattice is an acellular dermal matrix (ADM) that is used for an internal bra and is often effective at protecting against recurrent contractures. Every time you have a capsulectomy some of the supporting tissue around the implant is removed, and Strattice also adds that coverage and support back. Given your history of a recurrent contracture, another capsulectomy without Strattice probably has a lower chance of success.
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December 24, 2018
Answer: Management of Recurrent Capsular contracture A complete capsulectomy is often necessary to reverse capsular contracture. Very often, the posterior capsule is not removed or considered not important to remove. The only way to insure that a complete capsulectomy is done is to look at the intraoperative photos (if available) and to look at the pathology report (if available). You don't always have to resort to another expensive foreign body, such as acellular dermal matrix, to fix this problem.
Helpful 1 person found this helpful
December 24, 2018
Answer: Management of Recurrent Capsular contracture A complete capsulectomy is often necessary to reverse capsular contracture. Very often, the posterior capsule is not removed or considered not important to remove. The only way to insure that a complete capsulectomy is done is to look at the intraoperative photos (if available) and to look at the pathology report (if available). You don't always have to resort to another expensive foreign body, such as acellular dermal matrix, to fix this problem.
Helpful 1 person found this helpful
October 19, 2014
Answer: Capsular contracture Every patient's outcome is different. Whether you decide to have a surgery is up to you with the guidance of your surgeon's experience with this issue and treatment thereof
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October 19, 2014
Answer: Capsular contracture Every patient's outcome is different. Whether you decide to have a surgery is up to you with the guidance of your surgeon's experience with this issue and treatment thereof
Helpful
December 24, 2018
Answer: Capsular contracture twice. Is there much success with your experience of women having a third capsulectomy? Sorry to hear about the complications you have experienced. Capsular contraction can be a very frustrating complication for both patients and surgeons. In my practice, I have found the most success treating these difficult problems utilizing techniques such as sub muscular pocket conversion (if relevant), capsulectomy, use of fresh implants, and the use of acellular dermal matrix. Acellular dermal matrix is a biologic implant that carries the ability to become integrated into native tissue. It is made by taking a full thickness section of skin from a donor source (his human, porcine, or bovine in origin). I hope this, and the attached link ( demonstrating a case utilizing acellular dermal matrix) helps.
Helpful 1 person found this helpful
December 24, 2018
Answer: Capsular contracture twice. Is there much success with your experience of women having a third capsulectomy? Sorry to hear about the complications you have experienced. Capsular contraction can be a very frustrating complication for both patients and surgeons. In my practice, I have found the most success treating these difficult problems utilizing techniques such as sub muscular pocket conversion (if relevant), capsulectomy, use of fresh implants, and the use of acellular dermal matrix. Acellular dermal matrix is a biologic implant that carries the ability to become integrated into native tissue. It is made by taking a full thickness section of skin from a donor source (his human, porcine, or bovine in origin). I hope this, and the attached link ( demonstrating a case utilizing acellular dermal matrix) helps.
Helpful 1 person found this helpful
