#Capsular #Contracture is a condition in which the capsule around the implant thickens and squeezes the implant making it hard and often changing the shape and position of the implant. It is more common in nicotine users (e.g. smoking or nicotine patches or gum). Effective treatment of the capsule frequently involves completely removal of the capsule (capsulectomy), and occasional incisions in the capsule may be somewhat helpful (#capsulotomy). At times it is necessary to change the position of the implant, either above or below the muscle, depending upon the initial position, changing the #implants themselves and, on occasion, the use of Acellular Dermal Matrix (ADM) may be required to prevent continued problems. Although the published risk of capsular contracture is approximately 9-11%, in our practice it is somewhat lower after initial implant placement. Once capsular contracture occurs, the risk of problems with secondary surgery rises to between 25% and 40%. #Saline implants may deflate spontaneously. When the patient has significant #symptoms, complete or partial leakage of their saline implant, or concerns regarding silicone leakage, it is recommended that the implant is removed and exchanged. Frequently, this is performed on both sides depending upon the age of the implant. Capsulotomy or opening of the capsule may be required or frequently capsulectomy, which is removal of the scarred capsule, is #recommended to ensure adequate pocket dimensions. New implants may then be placed in the same existing position or may undergo a change of #placement frequently from submammary to subpectoral position and, on occasion, the other way around.A specific surgical plan to correct capsular contracture will have to be detailed by your board-certified Plastic Surgeon.
Thank you for your question and photo. I think that you should continue to take the singular if it is the recommendation of your operating surgeon, but before thinking about a revision surgery, please speak with him or her about what you are experiencing.
All the best,
At this point having taken singulair for 1 month without response, I think you will need surgery. The swelling suggests that there may be fluid around the implant, but without surgery your problem will not resolve. I would discuss your options with your surgeon, and some kind evaluation preop including mammagram and possible ultrasound.