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Interested in capsulectomy and implant replacement - How complicated is this procedure and what should I look for in a surgeon?

Peaceful176261Jan 22, 2023
Hello. I have above-muscle saline implants that are 25+ years old. One of the implants has become hard, and I’d like to have a capsulectomy and replace the old saline implants with new ones. How complicated is this procedure? Is there something specific I should seek in a surgeon? I live in Miami Florida and there are tons of doctors who do breast augmentations. Is there something I should look for when looking for a surgeon? Thank you.

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Dr. Daniel Barrett, MD
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Dr. Daniel Barrett, MD
Board Certified Plastic Surgeon
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Answered on Mar 8, 2023
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Dr. Shaher W. Khan, MD
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Dr. Shaher W. Khan, MD
Board Certified Plastic Surgeon
4.9 | 59 Reviews
Answered on Sep 3, 2024
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Derek Fletcher, MD

Your photos and description (higher and more firm) suggest capsular contracture. An in person examination will help you make an accurate diagnosis and determine your best treatment plan.

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Daniel Barrett, MD

Dear SS1234, I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper...

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Derek Fletcher, MD

It sounds like you may have experienced a tear in the capsule around the implant or a tear of the pectoralis major muscle. Either can cause bleeding (hematoma) which would explain the initial swelling. Typically, bruising follows. But, sometimes the capsule contains the hematoma and no bruising...

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Daniel Barrett, MD

Dear Jenna949, 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...

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Daniel Barrett, MD

Dear Elsa9431, I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper...

+2 answers
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Gerald Minniti, MD, FACS

There are a few variables to consider when planning a successful surgery to correct capsular contracture. Regardless of where your incisions are, any revision surgery should be performed via an inframammary incision to minimize implant contamination and to avoid any further injury to breast...

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