Capsular Contracture Likelihood for Subglandular vs Submuscular?

Question

Had surgery for cc of L breast (never went Bk to soft squishy state).now right cc.Chances of cc w/sub-glandular vs.sub-muscular? better to place both under muscle now?silicone implants frm06 periareiola incision.My weight fluctuates, when dwn see rippling which shouldn't see with silicone?Little ball like masses on outer edges of implants slightly smaller than marble dr says caused by cc?however its on bth breasts & according to him only my Rbreast has cc now? what are they?

Ary Krau, MD, FACS · Answer

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

Kenneth Hughes, MD · Answer

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

Norman Bakshandeh Day, MD, FACS · Answer

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

Steven Wallach, MD · Answer

I prefer to place implants under the muscle for the two reasons you mentioned. It helps minimize rippling in the upper pole, and it is felt that capsular contracture rates are lower under the muscle.

Jourdan Gottlieb, MD · Answer

Capsular contracture is less likely in submuscular implants. Given your issues with both CC and ripples, you would be best served by replacing your current implants with submuscular gel implants. your surgeon might want to consider and incision in the breast fold for this procedure. Without a photo or better still an exam, I am not certain as to what you are feeling around the implant edges, but I suspect they are ripples,  folds in the implant edges. 

	All the best.

Capsular Contracture Likelihood for Subglandular vs Submuscular?

Answers (6)

Answer: Capsular contracture

Answer: Capsular contracture

Answer: Capsular Contracture Likelihood for Subglandular vs Submuscular

Answer: Capsular Contracture Likelihood for Subglandular vs Submuscular

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Capsular Contracture Likelihood for Subglandular vs Submuscular?

Answers (6)

Answer: Capsular contracture

Answer: Capsular contracture

Answer: Capsular Contracture Likelihood for Subglandular vs Submuscular

Answer: Capsular Contracture Likelihood for Subglandular vs Submuscular

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Everything you need to know about Capsular Contracture Treatment

Our mission is to create a world where every investment in modern beauty is Worth It.