Strattice Worth $3,000 for Recurrent Capsular Contracture

Avoid Stratice! Your own body has a much better structure: Fascia intelligent use of the subfascial plane is the answer

 

 

 

The problems that lead to suggested use of Stratice and dermal fillers are way too common.  The reality of breast augmentation is that most women have similar results and are simply not aware that there is a better option.  The most commonlyt used technique is the  "dual-plane" subpectoral placement.  this sets up the implants for lateral and inferior malposition.  The top of the breast has muscular coverage and because of the pectoralis major's origination next to the sternum, the implants are pushed away from midline creating the valley between them that you dislike ( I call this the Miami Valley based on the common augmented look of breast augmentations in Miami).  Because the inferior portion of the breast is subglandular,  there is no support and the implant tend to migrate toward the armpits then down.

 

For these reasons I do not perform submuscular or dual-plane breast augmentations.  I use a technique that I call "Cold-Subfascial Breast AugmentationTM" that overcomes the shortcomings of dual plane.  By leaving the muscle alone and precisely lifting the strong pectoralis fascia,  I am able to custom design what is essentially a living natural brassiere to support the implant within the breast.  Using this technique I am able to create beautiful natural appearing breasts that complement the individual patient's body.

 

I commonly revise patients in your position by converting them to the cold-subfascial plane.  In my experience this is the only way to repair the breast and create a long-lived beautiful result.  Artificial materials such as stratice are just asking for trouble in my opinion.  I hope this helps!

 

 

All the best,

 

Rian A. Maercks M.D.

The answer is ... Absolutely!I have over 250 patients and although the complication rate with the use of these ADM's is not zero, I have yet to have a capsular contracture when all of the prior scar is removed and a large enough sheet of Strattice is placed 7-8 cm high extending down from your pectoralis muscle covering the implant.You need to see a plastic surgeon who has a great deal of experience in breast revision surgery and with these materials but the results are very good and consistent when used properly by experienced surgeons.All my Best!Dr B

Our office specializes in breast augmentation revision and capsular contracture cannot be eliminated with strattice alone.  We use a combination protocol including surgery, capsulectomy, postoperative massage, and oral medicines to decrease the risk of recurrence. Dr. Karamanoukian

I have used Strattice a few times for recurrent capsular contracture, and it has been effective with more than a year follow-up. Since your contracture recurred early, i think it is a very good idea. It is unfortunately quite expensive but it is a unique product.

All breast implants develop capsules shortly after they are placed. The question is what type of capsule will it be. That cannot be predicted before your body makes it. The capsules can be paper thin, a centimeter or two thick, contain muscle contracting like cells etc. Although Alloderm or other acellular dermal matrixes(ADM)  may prevent the formation of bad contracting capsules I cannot logically see why that would be the case and to my knowledge that is have never been proven. ADMs are mostly used to reconstructed inframammary folds, treat symmastia or increase tissue coverage to hide rippling.