I’ve had breast implants a year ago but started to have capsule contracture 4 months ago, evaluated on degree II even though a lot of pain and discomfort. Started treatment with Singulair but after 2 months got pregnant and stopped the treatment. It ended up on a miscarriage and I’m wonder if I should have the implants removed before getting pregnant again (which would lead me to 6-12 months wait) or if I could get pregnant again and remove them after, just afraid the contracture would improve.
Answer: Recommend removing as soon as possible Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction.
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Answer: Recommend removing as soon as possible Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction.
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November 17, 2022
Answer: Capsular Contracture Thank you for your question.
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November 17, 2022
Answer: Capsular Contracture Thank you for your question.
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October 18, 2022
Answer: Implants If the capsule has improved, you might do more Accolate and external ultrasound treatments. If it has not improved, then consider surgery if you are uncomfortable with it.
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October 18, 2022
Answer: Implants If the capsule has improved, you might do more Accolate and external ultrasound treatments. If it has not improved, then consider surgery if you are uncomfortable with it.
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October 18, 2022
Answer: Should I remove implants before or after pregnancy? Hello @Lu89, thank you for your question. I suggest you take the implants before getting pregnant. Pregnancy and pregnancy treatments cause hormonal changes, which is why it is better to be without a prosthesis. . There is still a lot to learn about the effects of capsular contracture or the inflammation that occurs in the body. This inflammation causes a myriad of symptoms that are not related. What I have seen in my patients is that when they remove the implants with total capsulectomy, the pain and discomfort disappear. If there are other effects they start to diminish. If you are considering a breast explantation, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. Best wishes! Alan Gonzalez MD, FACS.
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October 18, 2022
Answer: Should I remove implants before or after pregnancy? Hello @Lu89, thank you for your question. I suggest you take the implants before getting pregnant. Pregnancy and pregnancy treatments cause hormonal changes, which is why it is better to be without a prosthesis. . There is still a lot to learn about the effects of capsular contracture or the inflammation that occurs in the body. This inflammation causes a myriad of symptoms that are not related. What I have seen in my patients is that when they remove the implants with total capsulectomy, the pain and discomfort disappear. If there are other effects they start to diminish. If you are considering a breast explantation, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. Best wishes! Alan Gonzalez MD, FACS.
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October 17, 2022
Answer: Capsular contracture I'm sorry to hear about your miscarriage. If you are intending to wait a bit before becoming pregnant you should address the capsular contracture now as it may worsen as time goes on, especially since you are already experiencing discomfort from it. If you are intending to become pregnant right away you will need to wait until after you have delivered and completed breastfeeding for 3-6 months before having them removed.
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October 17, 2022
Answer: Capsular contracture I'm sorry to hear about your miscarriage. If you are intending to wait a bit before becoming pregnant you should address the capsular contracture now as it may worsen as time goes on, especially since you are already experiencing discomfort from it. If you are intending to become pregnant right away you will need to wait until after you have delivered and completed breastfeeding for 3-6 months before having them removed.
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