What are the criteria for a total capsulectomy vs capsulotomy for mild CC or malposition? (Photos)

Question

I consulted with 4 different ABPS board-certified plastic surgeons about revision of my high riding implant. 12 years post transaxillary, soft (but not quite as soft as other side), not painful. 2 were absolutely sure I had mild cc and need capsulectomy; 1 was unsure if it was cc or malposition and said capsulotomy is a better choice regardless; the fourth said I have NO cc at all and only need capsulotomy. What are the criteria for a total capsulectomy vs capsulotomy for mild CC? Thank you!

Ronald J. Edelson, MD · Answer

If you only have mild encapsulation and just want implant lowered a little, you shouldn’t need a complete capsulectomy but I can tell just from photos how bad your capsule is

Camille Cash, MD · Answer

If you have always had some malposition then a capsulotomy should help the implant to rest in the correct position. If the implant position was correct initially but you have recently noticed the malposition you may be developing a capsular contracture.  A complete capsulectomy would not be necessary to correct position if no contracture is present.

What are the criteria for a total capsulectomy vs capsulotomy for mild CC or malposition? (Photos)

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What are the criteria for a total capsulectomy vs capsulotomy for mild CC or malposition? (Photos)

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