Capsular contracture question related to pregnancy and breast feeding?

Question

I have capsular contracture :/. I noticed a hardening of my left breast about 3 months after stopping breast feeding my now 19 month old. My surgeon retired and the Dr now practicing in his office was far from helpful. She diagnosed me with capsular contracture. We are trying to conceive our second baby so no time to get my breast fixed. What can I expect my breast to be like while going through my second pregnancy? Will I be able to breast feed from that breast at all? Is it harmful to my baby?

Edwin C. Pound, III, MD · Answer

You did not mention whether your implants are above your chest muscle or below it.  The prevailing theory about capsular contractures is that they may form as a result of bacteria around the implants.  Bacteria live in the breast tissue and are even more active during a pregnancy.  When implants are placed below the chest muscle, the muscle forms a barrier between the implants and the breast tissue.  This may help decrease the risk of forming capsular contractures.  When you go back for surgery on your capsular contractures, I would suggest placing them below the chest muscle if they are not already there.  A capsular contracture is basically a scar tissue capsule that forms around a breast breast implant.  When that scar tissue contracts, it can make the breast firm or distort the way it looks.  It is not dangerous to you or your baby.  It probably won't get any worse with a second pregnancy.  It is there and it will stay there until such time that you decide to have surgery.  Finally, it should not interfere with your ability to breast feed.

Robert L. Steely, MD, FACS · Answer

good morning!A capsular contracture is simply scar tissue- scar tissue that has formed around your implant possibly due to the bacteria associated with breast feeding.  This can occur in moms with implants on top of the muscle more frequently thatn women with implants below the muscle.  It should not interfere with your ability or safety to breast feed.  If tolerable, i would wait until after your second baby before consdiering a revision.I hope this helps

Capsular contracture question related to pregnancy and breast feeding?

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Capsular contracture question related to pregnancy and breast feeding?

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