I have saline implants sub muscular. I've already had one Capsulectomy in May '17 due to CC with the existing implant cleaned and reused. I've developed CC yet again and am due for another Capsulectomy the end of Aug '17. The plan is to resuse the same implant again. I'm wondering if this is common practice? Also, I don't believe we'll be using any type of mesh or transplant material, just lots of antibiotics injected and taken orally.
Answer: Is it common practice to reuse the same implant for a 2nd capsulectomy? No, this is not standard practice. One of the causes of capsular contracture is bacterial contamination of the implant. Bacteria can set up a biofilm on the implant and no amount of antibiotics can remove them from the implant surface once this has occurred. Appropriate treatment of a capsular contracture includes removal of the capsule, replacement with brand-new implants +/- placement of an allograft (Strattice or similar) to help prevent the contracture from forming again. The silicone implants that I use in my office carry a 10 year capsular contracture warranty that provides new implants, and up to $3500 towards the cost of a revision surgery (Baker III/IV contractures). If you don't feel that your capsular contracture is being handled appropriately, that I would recommend 1-2 additional consultations with board-certified plastic surgeons.
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Answer: Is it common practice to reuse the same implant for a 2nd capsulectomy? No, this is not standard practice. One of the causes of capsular contracture is bacterial contamination of the implant. Bacteria can set up a biofilm on the implant and no amount of antibiotics can remove them from the implant surface once this has occurred. Appropriate treatment of a capsular contracture includes removal of the capsule, replacement with brand-new implants +/- placement of an allograft (Strattice or similar) to help prevent the contracture from forming again. The silicone implants that I use in my office carry a 10 year capsular contracture warranty that provides new implants, and up to $3500 towards the cost of a revision surgery (Baker III/IV contractures). If you don't feel that your capsular contracture is being handled appropriately, that I would recommend 1-2 additional consultations with board-certified plastic surgeons.
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Answer: Biofilm and Capsular Contracture Hello,No, re-use of implants is not the state of the art or even the norm in 2017. We know that bacterial biofilm is the cause cc and it cannot be cleaned. Similarly, inframammary incisions should be used for access, and total en bloc capsulectomies should be performed, with or without biologics like ADMs. My recommendation is to cut your losses and go to an ABPS certified/ASAPS member surgeon who specializes in revision breast surgery. Best of luck!
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Answer: Biofilm and Capsular Contracture Hello,No, re-use of implants is not the state of the art or even the norm in 2017. We know that bacterial biofilm is the cause cc and it cannot be cleaned. Similarly, inframammary incisions should be used for access, and total en bloc capsulectomies should be performed, with or without biologics like ADMs. My recommendation is to cut your losses and go to an ABPS certified/ASAPS member surgeon who specializes in revision breast surgery. Best of luck!
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August 2, 2017
Answer: Is it common practice to reuse the same implant for a 2nd capsulectomy? No... I am sorry to hear about the complications you have experienced. Capsular contraction can be a very frustrating complication for both patients and surgeons. In my practice, I have found the most success treating these difficult problems utilizing techniques such as sub muscular pocket conversion (if relevant), capsulectomy, use of fresh implants, and the use of acellular dermal matrix. Acellular dermal matrix is a biologic implant that carries the ability to become integrated into native tissue. It is made by taking a full thickness section of skin from a donor source (his human, porcine, or bovine in origin). Best wishes.
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August 2, 2017
Answer: Is it common practice to reuse the same implant for a 2nd capsulectomy? No... I am sorry to hear about the complications you have experienced. Capsular contraction can be a very frustrating complication for both patients and surgeons. In my practice, I have found the most success treating these difficult problems utilizing techniques such as sub muscular pocket conversion (if relevant), capsulectomy, use of fresh implants, and the use of acellular dermal matrix. Acellular dermal matrix is a biologic implant that carries the ability to become integrated into native tissue. It is made by taking a full thickness section of skin from a donor source (his human, porcine, or bovine in origin). Best wishes.
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August 2, 2017
Answer: I agree with the group… Do not reuse I think when a patient has a contracture severe enough to warrant capsulectomy that a new implant should be used and in fact the implant companies nowadays agree. Most of them will provide a free implant in the case of severe grade 3 or great 4 capsular contraction....
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August 2, 2017
Answer: I agree with the group… Do not reuse I think when a patient has a contracture severe enough to warrant capsulectomy that a new implant should be used and in fact the implant companies nowadays agree. Most of them will provide a free implant in the case of severe grade 3 or great 4 capsular contraction....
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August 2, 2017
Answer: NEVER It is an absolute containdication to use the same implant due to the fact that there may be a biofilm on the implant that is leading to the capsular contracture. Perhaps the reason you have a recurrence is the fact that the wrong operation is being done to correct the contracture. I highly recommend that you see a surgeon that performs this type of surgery regularly and is board certified.
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August 2, 2017
Answer: NEVER It is an absolute containdication to use the same implant due to the fact that there may be a biofilm on the implant that is leading to the capsular contracture. Perhaps the reason you have a recurrence is the fact that the wrong operation is being done to correct the contracture. I highly recommend that you see a surgeon that performs this type of surgery regularly and is board certified.
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August 2, 2017
Answer: Is it common practice to reuse the same implant for a 2nd capsulectomy? Dear Flies home
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August 2, 2017
Answer: Is it common practice to reuse the same implant for a 2nd capsulectomy? Dear Flies home
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