Second time capsular contracture. What is my best option?

   If both revisions were placed above the muscle, the option of submuscular placement should be explored.  The addition of the dermal matrices can be used in this, but the shift to a submuscular plane is a reasonable option. 

breast revision for capsular contracture


there are several options

consider dermal sheeting of some sort   ie belladerm, 

consider submuscular conversion

form stable implant from sientra

vit e and accolate

Your question is very complicated.  If there is a capsule then removal can completely change the dynamics of how an implant in a new pocket. That is both the shape, size and feel of the implant. Capsular contracture is not always preventable.  It can occur due to an infection, radiation, or just the way and individual heals.  Capsular contracture can be minimized from the surgeon's side by placing the implant underneath the muscle. This may be a a prudent way to go given that placing the implant above the muscle is known to have a higher rate of capsular contracture. Some surgeons advocate breast massage as away to keep an implant mobile in a capsular pocket. Truly because of the complexity, you should consult with a board certified plastic surgeon who is comfortable with complicated revisions of the breast.