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

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.

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

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.

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

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

Implants probably have little to do with cc, regardless of posted rates being different. The most important factors that reduce risk of primary or recurrent cc is evidence-based surgical technique. Surgeons should use an inframammary incision, use the electrocautery extensively in the dissection, irrigate with Betadine, place implants in a subpectoral pocket, and use a funnel for implant delivery. Further, going forward indefinitely after surgery, patients should take antibiotics prophylactically prior to teeth cleaning, Pap smears, and other non-sterile procedures. Treating cc should also include total capsulectomy and possibly the use of mesh or a biologic material known as acellular dermal matrix.

Capsular contracture can occur with any surgeon and with any implant. Usually at capsular contracture surgery, new implants are placed and new pockets are formed. You will need both breasts operated on for correct symmetry. You do not necessarily need a new surgeon.

Best Wishes,

Gary Horndeski, M.D.