I had my BA almost two years ago. Saline, sub-muscular, with 370cc in the left and 380 cc on the right. A month after, PS recommended massage for the left, which was not dropping and very hard. I was able to soften it but didn't realize the right was beginning to harden. At my one year checkup, PS recommended laser treatment for right breast, which I did once or twice a week for one and half months. Now right is hard again and higher. Should I consider surgery or try laser again?
Answer: Capsular Contracture Hello,I am sorry about your capsular contracture of your right breast. With all do respect to your experience, lasers, straps, massage, and ultrasound have never been shown to be effective in either prevention or treatment of capsular contracture in clinical studies. In other words, your left breast would have softened had you done nothing to it. I've not asked a patient to massage in over 10 years, yet my rate of capsular contracture has fallen - not because of the lack of massage, but because of other things that have changed as well.Singulair has had lackluster results when examined in clinical trials. It fails statistical significance in most studies, however a few showed modest efficacy. In practice, Singulair, when it actually worked, managed to only soften a breast, never could it drop it back into its proper position.I do not recommend either closed or open capsulotomy. You will be at high risk for recurrence. I do not recommend using expensive ADMs like Strattice or Alloderm, they are usually unnecessary. In all likelihood, you will be completely cured with a total capsulectomy and replacement with a new implant. It is a more time consuming and technically difficult surgery to perform well, but it is well worth it!Best of luck!
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Answer: Capsular Contracture Hello,I am sorry about your capsular contracture of your right breast. With all do respect to your experience, lasers, straps, massage, and ultrasound have never been shown to be effective in either prevention or treatment of capsular contracture in clinical studies. In other words, your left breast would have softened had you done nothing to it. I've not asked a patient to massage in over 10 years, yet my rate of capsular contracture has fallen - not because of the lack of massage, but because of other things that have changed as well.Singulair has had lackluster results when examined in clinical trials. It fails statistical significance in most studies, however a few showed modest efficacy. In practice, Singulair, when it actually worked, managed to only soften a breast, never could it drop it back into its proper position.I do not recommend either closed or open capsulotomy. You will be at high risk for recurrence. I do not recommend using expensive ADMs like Strattice or Alloderm, they are usually unnecessary. In all likelihood, you will be completely cured with a total capsulectomy and replacement with a new implant. It is a more time consuming and technically difficult surgery to perform well, but it is well worth it!Best of luck!
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Answer: Capsulectomy, Capsulotomy, or Continue Massaging One of the most common problems is breast capsular #contracture or the development of thickening, and contracture of the capsule that exists around the breast implants. Severe capsule contracture probably occurs in less than 15% of augmentation patients. Every woman has a breast capsule around their implant and this is a normal phenomenon. The capsule itself could be as thin as Saran Wrap but may also become calcified and thickened. As it thickens and shrinks, the patient may develop a feeling a firmness of the breasts and in its worst situation, the breast may become painful and abnormal in appearance, achieving a very round, hard, and uneven appearance. There may be distortion and possible breakage and leakage of an older implant, but may also include a newer #implant. Nicotine users, such as smokers, have up to a 30x increased risk of #capsular contracture.
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Answer: Capsulectomy, Capsulotomy, or Continue Massaging One of the most common problems is breast capsular #contracture or the development of thickening, and contracture of the capsule that exists around the breast implants. Severe capsule contracture probably occurs in less than 15% of augmentation patients. Every woman has a breast capsule around their implant and this is a normal phenomenon. The capsule itself could be as thin as Saran Wrap but may also become calcified and thickened. As it thickens and shrinks, the patient may develop a feeling a firmness of the breasts and in its worst situation, the breast may become painful and abnormal in appearance, achieving a very round, hard, and uneven appearance. There may be distortion and possible breakage and leakage of an older implant, but may also include a newer #implant. Nicotine users, such as smokers, have up to a 30x increased risk of #capsular contracture.
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March 18, 2014
Answer: Hard saline implants Saline implants under the muscle rarely develop significant capsular contracture. Often, saline implants may feel too hard if overfilled too much or if the space was not made large enough. Only an in person exam would determine if that is the case in your situation in which case the correction is simple. Laser is a waste of time.
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March 18, 2014
Answer: Hard saline implants Saline implants under the muscle rarely develop significant capsular contracture. Often, saline implants may feel too hard if overfilled too much or if the space was not made large enough. Only an in person exam would determine if that is the case in your situation in which case the correction is simple. Laser is a waste of time.
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February 26, 2016
Answer: Breast implants silicone implants breast capsule Baker grade 3 capsular contracture I'm sorry you're having so problems with your breast implants. Breast capsular contracture is not a common complication after breast implantation. To minimize capsule contracture typically silicone breast implants are used in a submuscular position. Since you have tried massaging, and even lasering, I would suggest your next step be surgery. From your pictures and your history, you are a Baker grade 3 capsular contracture. I would undergo bilateral capsulectomy with removal and replacement of bilateral implants. I would also place the new silicone implants in a a different position, namely a subglandular or above the muscle position. Please discuss with your plastic surgeon various options. I often get medical insurance to cover removal of breast implants and capsulectomies.
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February 26, 2016
Answer: Breast implants silicone implants breast capsule Baker grade 3 capsular contracture I'm sorry you're having so problems with your breast implants. Breast capsular contracture is not a common complication after breast implantation. To minimize capsule contracture typically silicone breast implants are used in a submuscular position. Since you have tried massaging, and even lasering, I would suggest your next step be surgery. From your pictures and your history, you are a Baker grade 3 capsular contracture. I would undergo bilateral capsulectomy with removal and replacement of bilateral implants. I would also place the new silicone implants in a a different position, namely a subglandular or above the muscle position. Please discuss with your plastic surgeon various options. I often get medical insurance to cover removal of breast implants and capsulectomies.
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February 10, 2016
Answer: Breast capsular contracture My experience is that massage does not help with capsular contracture. It is used to prevent it, but doesn't work once there is an established contracture. I have had great success with the use of Singulair 10 mg twice a day for 2 months. That works in a about 30-50% of cases, but they are usually mild contractures. Yours appears to be more of a Baker grade 3 CC. In your case, there are a number of options. You can try just a simple capsulotomy since this is your first CC. The recurrence rate is higher, but this will work in over 50 %. The next option is a partial capsulectomy with or without an ADM (Acellular Dermal Matrix) like Strattice or Alloderm. ADM's do diminish the recuurence of CC dramatically, but are quite expensive. I do use them for recuurent CC very commonly, but try the other methods first. I hope this helps.
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February 10, 2016
Answer: Breast capsular contracture My experience is that massage does not help with capsular contracture. It is used to prevent it, but doesn't work once there is an established contracture. I have had great success with the use of Singulair 10 mg twice a day for 2 months. That works in a about 30-50% of cases, but they are usually mild contractures. Yours appears to be more of a Baker grade 3 CC. In your case, there are a number of options. You can try just a simple capsulotomy since this is your first CC. The recurrence rate is higher, but this will work in over 50 %. The next option is a partial capsulectomy with or without an ADM (Acellular Dermal Matrix) like Strattice or Alloderm. ADM's do diminish the recuurence of CC dramatically, but are quite expensive. I do use them for recuurent CC very commonly, but try the other methods first. I hope this helps.
Helpful 2 people found this helpful
