Capsular Contracture Likelihood for Subglandular vs Submuscular?

Hi Ladyluck,

     Capsular contracture and rippling are absolutely more common in front of the muscle.

Your best bet is to convert your implants to behind the muscle.  Since your incision is already around the areola, I would reused this approach and avoid a second incision..  In my experience there is no increased likelihood of capsular contracture through this  areola .approach.  With appropriate intra-operative antibiotics and and meticulous surgery, the capsular contracture rate in the submuscular position approaches one percent, perhaps even less, regardless of the incision.

Good luck,

Ary Krau MD FACS

    If you have subglandular implants and capsular contracture, you should replace the implants and transition to a submuscular plane.  Kenneth Hughes, MD Los Angeles, CA

The capsular contracture and visible rippling is significantly less when the implants are in the submuscular space