Unfortunately, a capsular contracture will not just go away or get better on its own. It usually requires removal.
Hello! Thank you for your question! Recurrent capsular contracture is a
very difficult problem. Assuming you tried conservative measures in the
past - implant massage and may add the medication Singulair and Vitamin
E. If these fail, surgical correction may be necessary. It is a matter
of surgeon preference as well as what is seen during your procedure
that will determine whether or not a complete capsulectomy is performed.
If significant capsule formation is seen intraoperatively, a full
capule removal may be warranted with a drain in order to completely
remove all of the tissue and allow better adherence of your breast back
to its normal anatomic position down on your chest wall. Irrigating with
certain medications may also be if benefit. Some other things that may
have been tried include changing the position of your implant, addition
of a dermal matrix, or consideration for the the shaped, textured,
anatomical gel implants.
Without knowing your issues and
without an examination, it is difficult to tell you what may be the best
thing for you. I tend to favor performing capsulectomies in order to
create a fresh pocket, reshape the pocket, allow better shape and
adherence of the overlying breast. I would discuss your issues with your
plastic surgeon who will assist you in determining the right modality
for you. It may continue to occur despite all of these modalities and
consideration for explantation or living with the contracture are
options. Hope that this helps! Best wishes!
Hello Debra. I'm sorry to hear about your CC after 32 years. The medications you mentioned are not likely to work this far along and the CC is likely a sign that your implant is ruptured or leaking in some way. I think you should consider seeing a plastic surgeon for an in-person examination and getting their advice. You may also need imaging to determine what is going on with your breast implants. Best wishes, Dr. Aldo
There is no sure fire way to prevent capsular contraction. You can try Singular, etc. If implants are in front of the the muscle, they can be repositioned behind/under the muscle. If the implants are smooth surfaced, replacing them with textured surface implants may help as well. Usually capsular contraction requires surgical intervention to improve.
With 32-year-old implants, my recommendation would be to remove the implant capsule as well as all the implant material as it would be a very high likelihood that both implants are broken. It would be, in my opinion, a waste of time to try any of these medications in light of an underlying problem that needs to be remedied. I would seek the counsel of a board-certified plastic surgeon in your region with experience in revision breast surgery. Good luck.