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?
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
