I have capsular contracture and I take hormone replacement therapy. Could it be a contributing factor to cc?

Question

Gerald Minniti, MD, FACS · Answer

Hello,Hormone therapy does not increase your risk of capsular contracture. It is well established that bacteria and chronic inflammation are the cause of capsular contracture. Surgeons that bother to reduce implant contamination enjoy a rate 1/10th that of the national average. Steps to reduce CC:1. biodimensional planning of the implant size/profile2. inframammary incision3. all electrocautery dissection of a subpectoral pocket4. triple antibiotic/Betadine irrigation5. funnel delivery of the implantAdditionally, anytime after surgery that a patient is going to have a non-sterile procedure like a teeth cleaning or Pap smear, they should get a single pre-procedure dose of antibiotics.If you have capsular contracture, your surgeon should take these steps in surgery to reduce recurrence:1. inframammary incision, regardless of what incision you have now2. complete removal of the scar capsule in one piece (total en bloc capsulectomy) using electocautery only3. convert to subpectoral pocket if appropriate4. triple antibiotic/Betadine irrigation5. replace with a new implant via funnel6. avoid the use of drainsBest of luck!

Kirk Moore, MD · Answer

I do both hormone replacement therapy and breast augmentation, and I have not seen any correlation...as a matter of fact, I don't know any of my clients that has had a breast augmentation and is in my BHRT program who has had or has developed a CC. Best.

Nelson Castillo, MD · Answer

Thank you for your question.  Though we know what capsular contracture is, we do not definitely understand what causes it to form or become problematic.  The leading thought is that bacterial colonization of the implant can predispose to the more severe forms, while others think it is the result of any blood within the implant pocket.  I have not heard of HRT contributing to contracture, however.  Hope that this helps.

Gary Lawton, MD, FACS · Answer

There are common things that contribute to capsular contracture that most surgeons avoid at the time of surgery.  There are some things that contribute that occur after surgery (distant site infections, e.g.; urinary tract or sinus infections).  It is not likely that your hormone replacement therapy is contributing to capsular contracture.

Terrence Murphy, MD · Answer

There are many articles theorizing the cause of capsular contracture but I have not seen Hormone replacement therapy as a cause.

I have capsular contracture and I take hormone replacement therapy. Could it be a contributing factor to cc?

Answers (6)

Answer: HRT and Capsular Contracture

Answer: HRT and Capsular Contracture

Answer: Capsular contracture and hormone therapy

Answer: Capsular contracture and hormone therapy

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I have capsular contracture and I take hormone replacement therapy. Could it be a contributing factor to cc?

Answers (6)

Answer: HRT and Capsular Contracture

Answer: HRT and Capsular Contracture

Answer: Capsular contracture and hormone therapy

Answer: Capsular contracture and hormone therapy

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Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.