I had my first surgery in 2008, my first CC was removed in 2009 (left breast, 330cl Sil.) and only a few months later I started to sense a capsule. I ignored it until two weeks ago I had a corrective surgery. Both implants were replaced and new high-profile implants entered with a rough surface to avoid future contraction. From the swelling, light pain and general feel as I had this problem before, I am 99% certain I am in the early stages of having CC AGAIN. Could massage/medicine help??
March 14, 2016
Answer: In Early Stages of Capsular Contracture, Are there Prevention Methods? Hello! Thank you for your question! Recurrent capsular contracture is a very difficult problem. Assuming you tried conservative measures in the past - implant massage and may add the medication Singulair and Vitamin E. If these fail, surgical correction may be necessary. It is a matter of surgeon preference as well as what is seen during your procedure that will determine whether or not a complete capsulectomy is performed. If significant capsule formation is seen intraoperatively, a full capule removal may be warranted with a drain in order to completely remove all of the tissue and allow better adherence of your breast back to its normal anatomic position down on your chest wall. Irrigating with certain medications may also be if benefit. Some other things that may have been tried include changing the position of your implant, addition of a dermal matrix, or consideration for the the shaped, textured, anatomical gel implants. Without knowing your issues and without an examination, it is difficult to tell you what may be the best thing for you. I tend to favor performing capsulectomies in order to create a fresh pocket, reshape the pocket, allow better shape and adherence of the overlying breast. I would discuss your issues with your plastic surgeon who will assist you in determining the right modality for you. At a 3rd recurrence, it may continue to occur despite all of these modalities and consideration for explantation or living with the contracture are options. Hope that this helps! Best wishes!
Helpful
March 14, 2016
Answer: In Early Stages of Capsular Contracture, Are there Prevention Methods? Hello! Thank you for your question! Recurrent capsular contracture is a very difficult problem. Assuming you tried conservative measures in the past - implant massage and may add the medication Singulair and Vitamin E. If these fail, surgical correction may be necessary. It is a matter of surgeon preference as well as what is seen during your procedure that will determine whether or not a complete capsulectomy is performed. If significant capsule formation is seen intraoperatively, a full capule removal may be warranted with a drain in order to completely remove all of the tissue and allow better adherence of your breast back to its normal anatomic position down on your chest wall. Irrigating with certain medications may also be if benefit. Some other things that may have been tried include changing the position of your implant, addition of a dermal matrix, or consideration for the the shaped, textured, anatomical gel implants. Without knowing your issues and without an examination, it is difficult to tell you what may be the best thing for you. I tend to favor performing capsulectomies in order to create a fresh pocket, reshape the pocket, allow better shape and adherence of the overlying breast. I would discuss your issues with your plastic surgeon who will assist you in determining the right modality for you. At a 3rd recurrence, it may continue to occur despite all of these modalities and consideration for explantation or living with the contracture are options. Hope that this helps! Best wishes!
Helpful
October 19, 2011
Answer: Capsular contracture after breast augmentation
some doctors and studies advocat Accolate . this is off label use for an asthma medication.
massage, and sometimes antibiotics (biaxin) can improve early changes if your surgeon believes in biofilm and colonization of the implant.
its a very frustrating problem
Helpful 1 person found this helpful
October 19, 2011
Answer: Capsular contracture after breast augmentation
some doctors and studies advocat Accolate . this is off label use for an asthma medication.
massage, and sometimes antibiotics (biaxin) can improve early changes if your surgeon believes in biofilm and colonization of the implant.
its a very frustrating problem
Helpful 1 person found this helpful