I have developed capsular contracture post bilateral prophylactic mastectomy eight months ago with reconstruction and saline implant (under pectoral muscle) . The hardening occurred soon after surgery. I am concerned that the contracture will occur again. I am doing massage and taking Singular.
Answer: Post breast Cancer Mastectomy I have developed capsular contracture. Do you recommend capsulotomy or capsulectomy? Hello! Thank you for your question! I am sorry to hear of the issues that you are having with your breast reconstruction. Capsular contracture is a known complication that can occur following implant placement, especially in breast reconstruction. It is more common following radiation as well as other issues such as previous infection, hematoma, etc. Your options include: do nothing, implant removal, conservative measures (like those you are doing), capsulectomy/otomy, placement of a dermal matrix, or flap reconstruction.It appears that your plastic surgeon has recommend several proven things that can ameliorate capsular contracture. At eight months, postoperatively, it may not improve much more. Indications for having another procedure to hopefully correct the issue would be pain or significant deformity/asymmetry of your breasts. I typically perform capsulectomy to remove the entire area and start again with a fresh palette, and ultimately remove all of the capsule. Either way, the contracture can in fact return. If so, your options would be the same again. Hope that this helps! Best wishes!
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Answer: Post breast Cancer Mastectomy I have developed capsular contracture. Do you recommend capsulotomy or capsulectomy? Hello! Thank you for your question! I am sorry to hear of the issues that you are having with your breast reconstruction. Capsular contracture is a known complication that can occur following implant placement, especially in breast reconstruction. It is more common following radiation as well as other issues such as previous infection, hematoma, etc. Your options include: do nothing, implant removal, conservative measures (like those you are doing), capsulectomy/otomy, placement of a dermal matrix, or flap reconstruction.It appears that your plastic surgeon has recommend several proven things that can ameliorate capsular contracture. At eight months, postoperatively, it may not improve much more. Indications for having another procedure to hopefully correct the issue would be pain or significant deformity/asymmetry of your breasts. I typically perform capsulectomy to remove the entire area and start again with a fresh palette, and ultimately remove all of the capsule. Either way, the contracture can in fact return. If so, your options would be the same again. Hope that this helps! Best wishes!
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April 8, 2014
Answer: Post breast Cancer Mastectomy I have developed capsular contracture. Do you recommend capsulotomy or capsulectomy? If your capsular contracture is mild, capsulotomy may be sufficient. Post operative massage and ultrasound is also recommended.Capsulectomy is usually not necessary.If the capsule recurs there are several other options including adjustable saline implants with temporary overexpansion, or insertion of acellular dermal grafts
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April 8, 2014
Answer: Post breast Cancer Mastectomy I have developed capsular contracture. Do you recommend capsulotomy or capsulectomy? If your capsular contracture is mild, capsulotomy may be sufficient. Post operative massage and ultrasound is also recommended.Capsulectomy is usually not necessary.If the capsule recurs there are several other options including adjustable saline implants with temporary overexpansion, or insertion of acellular dermal grafts
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Answer: Capsulectomy vs Capsulotomy When it comes to contractures and the theories behind it, its always better to remove the capsule if you can. If you can't, 'neopockets' help isolate the capsule wall from the new implant. Capsulotomies do work but I personally prefer to remove it if possible. Textured implants should be used as much as possible.
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Answer: Capsulectomy vs Capsulotomy When it comes to contractures and the theories behind it, its always better to remove the capsule if you can. If you can't, 'neopockets' help isolate the capsule wall from the new implant. Capsulotomies do work but I personally prefer to remove it if possible. Textured implants should be used as much as possible.
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April 9, 2014
Answer: Breast reconstruction and capsular contracture Provided you stick with a device capsulotomy and capsulectomy may both be necessary as well as the use of other materials to help prevent another contracture depending on the device used and whether or not biologic mesh was used.Three
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April 9, 2014
Answer: Breast reconstruction and capsular contracture Provided you stick with a device capsulotomy and capsulectomy may both be necessary as well as the use of other materials to help prevent another contracture depending on the device used and whether or not biologic mesh was used.Three
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April 9, 2014
Answer: Cap con If you are having pain or if there is breast distortion from the contracture then either of the procedures you described are possible. It often depends on what is found at the time of surgery. I haven't seen any benefit with Singuair and the data for any true benefit is lacking. If it is bothering you, its worth fixing.
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April 9, 2014
Answer: Cap con If you are having pain or if there is breast distortion from the contracture then either of the procedures you described are possible. It often depends on what is found at the time of surgery. I haven't seen any benefit with Singuair and the data for any true benefit is lacking. If it is bothering you, its worth fixing.
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