Treatment options for early capsular contracture
An early capsular contracture should be treated aggressively. At a minimum a capsulectomy and implant replacement should be considered. If not under the muscle then switching to under will add coverage over the upper pole and help prevent recurrence of the contracture. Strattice may be considered in this situation as well.
Early capsular contracture?
We have had recent good success in treating early capsular contracture with a rather new technology called acoustic sound waves. Called Z-wave, this machine produces linear soundwaves that apply a force to the overlying capsule and I think cause it to stretch. That combined with a pill called Accolate and vitamin E would be tried first in my patients. should that not be effective, my plan would be a capsulectomy with the addition of Strattice to prevent a future capsule. Try to find a board-certified plastic surgeon in your location with experience in breast revision. Good luck.
Not sure this is a contracture
I'm a little confused by your statement: "Contracture was on medial upper rt breast above nipple and within one week progressed down lateral side of breast".
A capsule forms around every implant. The contracture describes the capsule tightening around the implant causing it to feel hard and sometimes causing distortion. A contracture generally would not be described as being in just one part of the breast.
As with many of these types of cases, it is very difficult to help you as much as we would like with an internet evaluation. Discuss it with your surgeon. From your postop photos, it appears he/she did a great job for you.
What can been done about capsular contracture which has developed 3 months after implant surgery?
Your issues are to serious to be discussed without in person full examinations. I might suggest fat grafting?>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
Breast Augmentation - Capsular Contracture
Thank you for question. I recommend early intervention in cases like yours. A total capsulectomy with implant exchange should be performed. I often place an ADM such as AlloDerm or Strattice to decrease the risk of future capsular contractures. Please see a board certified plastic surgeon with experience in revisionary breast surgery. Hope this helps.