Capsular contracture and can't afford a revision. Options?

Question

3 years ago I got breast implants. I was assaulted a week post-op and I developed a capsular contracture in the breast that was injured. The surgeon reassured me that the breast was just taking longer to heal than the other one. Then he retired. I can't get a revision from him, but I can't afford another surgery even with financing. The contracture makes me think of the assault every day, I feel trapped. I don't want full surgery. I would like revision in just the one breast. Is there any help?

John Paletta, MD · Answer

Even though capsule contracture may require surgery, there would be a few things you might consider trying before surgery. For example, you might try a course of  accolate.   Good luck

Nelson Castillo, MD · Answer

Thank you for sharing your question and I am sorry to hear of your CC issues.  Unfortunately the best treatment for CC is to remove your implant and its surrounding scar tissue and place a new implant into the breast pocket.  There can be other adjunct measures performed to help reduce the chance of recurrence, but  regardless of plan only revision surgery of the affected breast will be of benefit.  Best wishes.

Justin P. Martin, MD, FACS · Answer

Thanks for your question.  It sounds like the assault probably caused a hematoma, which is a known cause of capsular contracture.  I would have to do an in person exam to know exactly what would be needed to correct this, but if it is capsular contracture, surgery would be the only option.  Some would consider "closed capsulotomy" to be a nonsurgical option, but I would not recommend this.  If you decide to get a consultation, make sure that it is with a board certified plastic surgeon who has experience with revision breast surgery.

Capsular contracture and can't afford a revision. Options?

Answers (3)

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