Capsular Contracture Revision Strattice/Options/Opinions? (photo)

HX: 2001- UM Saline imp. - 450cc filled to 550; 2010 - removal of old implants, keyhole lift, silicone implant (? cc, but small D) above muscle; 8/2012 - (R) implant "poking out" – (R) breast scarred in the fold; 9/2012 - surgeon noted contracture, reco. rev. with Strattice

1. What constitutes “signif. exp. working with the product”.
2. How long can I wait to repair, risk of wait?
3. 2010 surg. $12K, rev. is $6,500 my Health ins. covers some cases, worth pursuing?
4. options or recom?

Doctor Answers 3

Capsular Contracture Revision Strattice/Options/Opinions?

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 ( human, porcine, or bovine in origin).  I hope this, and the attached link ( demonstrating a case utilizing acellular dermal matrix) helps. 

San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews

Capsular Contracture Revision Strattice/Options/Opinions

Very hard to answer the specific questions/issues via the internet. I might suggest consider fat grafting as another option. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Capsular Contracture Revision Strattice/Options/Opinions? (photo)

Despite the submitted photographs and detailed historical information, your complex situation is NOT amenable to evaluation and recommendations online.  My suggestion is to seek the most expert local opinions you can in person.  Because you are lean and Strattice is an acellular dermal matrix product (a thin sheet), fat grafting after implant removal may be a preferred alternative.  Several sessions will be required.  The problem may be ??Where can fat be harvested from your very thin body?  If you've had pregnancies, perhaps repeatedly from the lower abdomen.  Then, after fat grafting restores softness and adds some volume to the breast, have broad submuscular implants correctly placed, and at the same time tummy tuck or mini-tummy tuck to remove the loose skin.  I'm getting way ahead of myself, and the above scenario is only a possibility to be entertained by the surgeon who sees you, depending on your situation.  

Steve Laverson, MD
San Diego Plastic Surgeon
4.9 out of 5 stars 47 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.