I recently was informed by my surgeon that i have a capsular contracture . Mind you, i just had my breasts (saline, under muscle, high profile) done in march 2015. My concerns are do i need complete new implants to replace the capsulated one? Each video i see posted on you tube surgeons are using new implants to replace the old one. I would rather pay more for brand new implants than to have to re do them a third time. What are the chances of it forming again? . Please help.
Answer: Breast revision for CC Yes, you do need new implants. This is because one of the main reasons of developing cc is a mild, smoldering bacterial contamination of the implants, and so any revision needs brand new implants to minimize the chance of recurrence. If you have new implants, all 3 manufacturers offer cc protection plans and you may be eligible for free replacement implants. Best of luck.
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Answer: Breast revision for CC Yes, you do need new implants. This is because one of the main reasons of developing cc is a mild, smoldering bacterial contamination of the implants, and so any revision needs brand new implants to minimize the chance of recurrence. If you have new implants, all 3 manufacturers offer cc protection plans and you may be eligible for free replacement implants. Best of luck.
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September 17, 2015
Answer: Treatment of Capsular Contracture Hello,I would like to clarify something here. There has been a wealth of literature looking at revision and primary breast augmentation with regards to capsular contracture. The only controversy is in surgeon's heads. The data is clear, and its all about bacteria:1. Revision surgery should be performed through an inframammary incision, even if a periareolar scar exists.2. Total capsulectomy en bloc (all in one piece, no holes made while extracting it) should be performed with the implant discarded. 3. Triple antibiotic irrigation with half strength Betadine, followed by re-cleaning skin and re-draping operative field.4. Delivery of a new implant via a funnel.When the surgery is performed in this manner, your risk of recurrence is no more than when primary breast augmentation is performed in the most optimal way, approximately 2%. Therefore, there is no need for expensive ADMs like Alloderm or Strattice. In fact, this surgery is so effective, that the resulting capsule is frequently softer than the non-problematic side, and consideration preoperatively should be made to perform bilateral capsulectomies. Revision surgery is much different than primary, and you might benefit from getting a few second opinions. Best of luck!
Helpful
September 17, 2015
Answer: Treatment of Capsular Contracture Hello,I would like to clarify something here. There has been a wealth of literature looking at revision and primary breast augmentation with regards to capsular contracture. The only controversy is in surgeon's heads. The data is clear, and its all about bacteria:1. Revision surgery should be performed through an inframammary incision, even if a periareolar scar exists.2. Total capsulectomy en bloc (all in one piece, no holes made while extracting it) should be performed with the implant discarded. 3. Triple antibiotic irrigation with half strength Betadine, followed by re-cleaning skin and re-draping operative field.4. Delivery of a new implant via a funnel.When the surgery is performed in this manner, your risk of recurrence is no more than when primary breast augmentation is performed in the most optimal way, approximately 2%. Therefore, there is no need for expensive ADMs like Alloderm or Strattice. In fact, this surgery is so effective, that the resulting capsule is frequently softer than the non-problematic side, and consideration preoperatively should be made to perform bilateral capsulectomies. Revision surgery is much different than primary, and you might benefit from getting a few second opinions. Best of luck!
Helpful
September 17, 2015
Answer: Capsular Contracture The goal for a capsular contracture surgery is to re-create an entirely fresh pocket: remove the old implants, remove the thickened scar tissue entirely, replace with new implants, use drains, and consider the use of an ADM if this is your third time with this problem. Good luck to you!Thomas Taylor, MDPasadena, CA
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September 17, 2015
Answer: Capsular Contracture The goal for a capsular contracture surgery is to re-create an entirely fresh pocket: remove the old implants, remove the thickened scar tissue entirely, replace with new implants, use drains, and consider the use of an ADM if this is your third time with this problem. Good luck to you!Thomas Taylor, MDPasadena, CA
Helpful
September 17, 2015
Answer: Implant replacement with capsular contracture repair There is no single correct answer for this. We suspect that in most cases of capsular contracture, a slow infection, called a biofilm, is present. So theoretically the implant is contaminated and perhaps should not be used. Some doctors will exchange implants in a more severe contracture but consider reusing the implants after a bath in antibiotics, with a lesser contracture.
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September 17, 2015
Answer: Implant replacement with capsular contracture repair There is no single correct answer for this. We suspect that in most cases of capsular contracture, a slow infection, called a biofilm, is present. So theoretically the implant is contaminated and perhaps should not be used. Some doctors will exchange implants in a more severe contracture but consider reusing the implants after a bath in antibiotics, with a lesser contracture.
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Answer: Capsular contracture and new breast implants Hi,
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Answer: Capsular contracture and new breast implants Hi,
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