Should I go to a new surgeon for capsular contracture surgery?

Question

I have mild capsular contracture after 2 years, and wondering if I go for a revision should I go to a new plastic surgeon to get a different brand implants? Currently i have mentor but have read Sientra causes less capsular. Would it also make more sense to remove both implants since if the capsular side is removed it will look lower than the other breast, and may need another revision for symmetry? I would appreciate your input.

Steve Laverson, MD, FACS · Answer

If you have decided to revise the breasts to improve firmness, implant malposition, change in breast shape, discomfort, or any other problem(s) related to contracture, consulting with your previous surgeon and possibly (an)other surgeon(s) is the next step.  Your warranty likely covers reoperation for contracture, including new implants and perhaps some of the surgical costs.  Your original surgeon should know you have developed a contracture so if you have a good relationship with that doctor, go see him/her/them first.  Having compassion for your unusual situation and hoping to produce for you a longer term satisfactory result, that office may be more likely to diminish costs for a second surgery as much as possible.

Jeffrey J. Roth, MD, FACS · Answer

Thank you for your question.  We usually recommend patients visit their previous Plastic Surgeon, as they have seen the anatomy, and know what they did during the operation.  That said, it is okay to get a second opinion.  It is hard to recommend much else without photos and proper examination.  Please do see your Board Certified Plastic Surgeon, and ask your questions.

Jeffrey J. Roth, M.D., F.A.C.S.

Board Certified Plastic Surgeon

Las Vegas Plastic Surgery

Camille Cash, MD · Answer

If you are happy with your surgeon you do not need to consider a different one.  Capsular contracture can happen with any implant and with any surgeon.  There are things we can do to help lower the risk of them developing such as using the inframammary crease as the insertion point, placing the implant beneath the muscle, and using the Keller funnel when placing the implant.  I encourage you to speak with your surgeon about your concerns and to help you make the best decision for you.

Daniel Barrett, MD · Answer

Dear Christalent,
capsular contracture happens. In fact, every implant has a capsule form around it, its just a certain percentage develop thick capsules. There is a lot we don't know about it actually. Some think that bacteria that gets on the implant during insertion can increase the risk. Thats why we use a Keller Funnel in our practice to reduce that possibility. Our capsular contracture rate is less than 2% because we use a keller funnel as well as meticulous operating room techniques.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Caner Kacmaz, MD · Answer

Hi! this is Arzu from Dr. Caner Kacmaz clinic. First of all choosing a surgeon is your decision. İf you are happy with your doctor you can continue if not you can have consultation with other surgeon and choose the best for you.
Kind regards

Should I go to a new surgeon for capsular contracture surgery?

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Should I go to a new surgeon for capsular contracture surgery?

Answers (7)

Answer: Capsular contracture surgery

Answer: Capsular contracture surgery

Answer: About Surgeon

Answer: About Surgeon

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Everything you need to know about Capsular Contracture Treatment

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