I slowly developed CC since my surgery. My doctor prescribed Montelukast, which reduced my symptoms to a bearable level. I'm afraid to redo the surgery because I might develop CC again, but is doing nothing just as bad for me? By letting the CC worsen, am I letting my breast tissue become more destroyed? I'm also constantly sick now; currently am experiencing my 4th cold in the last 5 months. Is there hope that in a few years I can have my implants removed and replaced with natural fat?
Answer: Capsular Contracture: Is it better to live with it or treat it? Thank you for your question. Indeed, patients with capsular contracture are more likely to get repeat capsular contracture. For capsular contracture there are non operative modalities, (taking singulair, message, Aspen treatment, short course steroids, etc). We like singulair in our office, along with the other modalities. One should take it for 90 days straight. There are also operative modalities, (capsulectomy, capsulotomy, change of pocket, placement of ADM, removal). If the non operative modalities fail, the breasts usually do not get softer with time. They usually will harden, and become more odd shaped. The definitive treatment at this writing is surgical. Please speak with a Board Certified Plastic Surgeon about all your options. The ASAPS and ASPS websites are good places to start. You may be a better candidate for one specific procedure over the other. Jeffrey J. Roth, M.D., F.A.C.S. Board Certified Plastic Surgeon Las Vegas Plastic Surgery
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Answer: Capsular Contracture: Is it better to live with it or treat it? Thank you for your question. Indeed, patients with capsular contracture are more likely to get repeat capsular contracture. For capsular contracture there are non operative modalities, (taking singulair, message, Aspen treatment, short course steroids, etc). We like singulair in our office, along with the other modalities. One should take it for 90 days straight. There are also operative modalities, (capsulectomy, capsulotomy, change of pocket, placement of ADM, removal). If the non operative modalities fail, the breasts usually do not get softer with time. They usually will harden, and become more odd shaped. The definitive treatment at this writing is surgical. Please speak with a Board Certified Plastic Surgeon about all your options. The ASAPS and ASPS websites are good places to start. You may be a better candidate for one specific procedure over the other. Jeffrey J. Roth, M.D., F.A.C.S. Board Certified Plastic Surgeon Las Vegas Plastic Surgery
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April 13, 2018
Answer: Leukotriene Inhibitors Are Ineffective Hello, Your medicine is making you sick, and it is not treating your capsular contracture. Any benefit you may have is placebo effect, however the more frequent colds you are getting are from the Singular. Having a proper surgery for you capsular contracture will reduce your risk of recurrence. Capsular contracture puts higher pressure on your breast tissue, leading to atrophy or shrinkage of tissue. Go visit a few ABPS certified/ASAPS member surgeons who specialize in revision breast surgery. Best of luck!
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April 13, 2018
Answer: Leukotriene Inhibitors Are Ineffective Hello, Your medicine is making you sick, and it is not treating your capsular contracture. Any benefit you may have is placebo effect, however the more frequent colds you are getting are from the Singular. Having a proper surgery for you capsular contracture will reduce your risk of recurrence. Capsular contracture puts higher pressure on your breast tissue, leading to atrophy or shrinkage of tissue. Go visit a few ABPS certified/ASAPS member surgeons who specialize in revision breast surgery. Best of luck!
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October 16, 2019
Answer: Capsular contracture Dear JJButtercups,I guess that it depends on your symptoms and CC stage. 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.If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful 1 person found this helpful
October 16, 2019
Answer: Capsular contracture Dear JJButtercups,I guess that it depends on your symptoms and CC stage. 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.If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful 1 person found this helpful
Answer: Removal of implants to treat contracture This can be a real challenge, and I hope that you can find some relief soon. Removal of the implants in the setting of a capsule contracture is by definition the most effective way to treat this. If you did not remove the implants, it does not mean that the contracture will necessarily worsen. However, in fact, I have also seen some get better. But, if you do see worsening, then removal may be your best shot at feeling better. You may then require a lift to reestablish the position of the breast tissue in the most aesthetic place. Additionally, Fat grafting to the breasts may be a good option for you to provide volume. All of this has to be tailored to your specific anatomy and findings and goals. Have a goal directed conversation with your board-certified plastic surgeon and we are happy to help you in any way we can.
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Answer: Removal of implants to treat contracture This can be a real challenge, and I hope that you can find some relief soon. Removal of the implants in the setting of a capsule contracture is by definition the most effective way to treat this. If you did not remove the implants, it does not mean that the contracture will necessarily worsen. However, in fact, I have also seen some get better. But, if you do see worsening, then removal may be your best shot at feeling better. You may then require a lift to reestablish the position of the breast tissue in the most aesthetic place. Additionally, Fat grafting to the breasts may be a good option for you to provide volume. All of this has to be tailored to your specific anatomy and findings and goals. Have a goal directed conversation with your board-certified plastic surgeon and we are happy to help you in any way we can.
Helpful
August 9, 2019
Answer: Capsular Contracture Treatment Hello, and thank you for your question. (Keep in mind that an in-person consultation is necessary for the best advice.) The definitive treatment for capsular contracture includes (at a minimum) implant removal/exchange and total capsulectomy. But, if you can live with and don't mind the capsular contracture, you don't have to undergo surgery. After all, it's your body, and the decision to undergo surgery is yours. But, if you decide to pursue surgery it’s very important that you find a surgeon whom you are comfortable with and trust and who evaluates you in-person and tailors an individualized treatment plan for you and your aesthetic goals. Best of luck! Matthew A. DelMauro, M.D.
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August 9, 2019
Answer: Capsular Contracture Treatment Hello, and thank you for your question. (Keep in mind that an in-person consultation is necessary for the best advice.) The definitive treatment for capsular contracture includes (at a minimum) implant removal/exchange and total capsulectomy. But, if you can live with and don't mind the capsular contracture, you don't have to undergo surgery. After all, it's your body, and the decision to undergo surgery is yours. But, if you decide to pursue surgery it’s very important that you find a surgeon whom you are comfortable with and trust and who evaluates you in-person and tailors an individualized treatment plan for you and your aesthetic goals. Best of luck! Matthew A. DelMauro, M.D.
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