I’ve had four surgeries in a years time. After the initial augmentation, my right side ruptured, so I had a revision. Since then, I’ve developed CC three times and have had a Capsulectomy three times. I have saline sub muscular. I’m on the third out of ten Aspen treatments but my breast still feels firm and is sore and slightly misshapen. Advise? I’m desperate
Answer: Recurrent CC Good morning!Definitely one of the most frustrating problems in breast augmentation surgery! Here is my approach:1) complete capsulectomy to remove the scar tissue2) new textured implants3) drain for five days4) singulair 10mg beginning three weeks preop and continuing 9 weeks postop5) irrigation of the pockets with a triple antibiotic solution6) oral antibiotics and Vitamin E7) a sheet of Strattice on each sideIn my experience this gives the best reduction in recurrence risks. I have attached a link to my Breast Augmentation Revision photo gallery with lots of CC corrections for your review- hope it helps!
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Answer: Recurrent CC Good morning!Definitely one of the most frustrating problems in breast augmentation surgery! Here is my approach:1) complete capsulectomy to remove the scar tissue2) new textured implants3) drain for five days4) singulair 10mg beginning three weeks preop and continuing 9 weeks postop5) irrigation of the pockets with a triple antibiotic solution6) oral antibiotics and Vitamin E7) a sheet of Strattice on each sideIn my experience this gives the best reduction in recurrence risks. I have attached a link to my Breast Augmentation Revision photo gallery with lots of CC corrections for your review- hope it helps!
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Answer: Revision Failures Can Be Partially Blamed on Incision Choice Hello,
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Answer: Revision Failures Can Be Partially Blamed on Incision Choice Hello,
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September 9, 2019
Answer: Capsular contracture Dear Flieshome,Capsular contracture happens. In fact, every implant has a capsule form around it, its just a certain percentage develop thick capsules. There is a lot we don't know about it actually. Some think that bacteria that gets on the implant during insertion can increase the risk. Thats why we use a Keller Funnel in our practice to reduce that possibility. Our capsular contracture rate is less than 2% because we use a keller funnel as well as meticulous operating room techniques.Daniel Barrett, MD, MHA, MS
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September 9, 2019
Answer: Capsular contracture Dear Flieshome,Capsular contracture happens. In fact, every implant has a capsule form around it, its just a certain percentage develop thick capsules. There is a lot we don't know about it actually. Some think that bacteria that gets on the implant during insertion can increase the risk. Thats why we use a Keller Funnel in our practice to reduce that possibility. Our capsular contracture rate is less than 2% because we use a keller funnel as well as meticulous operating room techniques.Daniel Barrett, MD, MHA, MS
Helpful 1 person found this helpful
September 9, 2019
Answer: Finish treatments for CC before considering other options Since you are on the third of 10 treatments with ultrasound, it is best to complete the course before deciding about next steps. Your options are unfortunately limited after multiple recurrences of capsular contracture. The best is to repeat the capsulectomy and implant replacement but add ADM such as Strattice.
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September 9, 2019
Answer: Finish treatments for CC before considering other options Since you are on the third of 10 treatments with ultrasound, it is best to complete the course before deciding about next steps. Your options are unfortunately limited after multiple recurrences of capsular contracture. The best is to repeat the capsulectomy and implant replacement but add ADM such as Strattice.
Helpful 1 person found this helpful
September 9, 2019
Answer: Repeated capsules I'm sorry to hear about your frustrating problem with recurrent capsules. It's a very challenging problem. If you've had a complete capsulectomy and new implants behind the muscle already by a experienced plastic surgeon, the next options are:1) line the pocket with an ADM, like Strattice. This reduces, but doesn't eliminate, the risk of a recurrent capsule. Downside: expense2) Remove the implants altogether - then consider either a lift (if needed) or possibly some fat grafting to the breasts to restore some of the shape and volume. As you know, if you take the implants out, your body is not going to make any more capsules. But that is a tough decision to make.Best wishes,
Helpful 1 person found this helpful
September 9, 2019
Answer: Repeated capsules I'm sorry to hear about your frustrating problem with recurrent capsules. It's a very challenging problem. If you've had a complete capsulectomy and new implants behind the muscle already by a experienced plastic surgeon, the next options are:1) line the pocket with an ADM, like Strattice. This reduces, but doesn't eliminate, the risk of a recurrent capsule. Downside: expense2) Remove the implants altogether - then consider either a lift (if needed) or possibly some fat grafting to the breasts to restore some of the shape and volume. As you know, if you take the implants out, your body is not going to make any more capsules. But that is a tough decision to make.Best wishes,
Helpful 1 person found this helpful
