What can be done after capsular constracture occurs in breast augmentation?

I had my first breast augmentation at 21, they were great. Size, shape, feel, but 9 years and breast feeding 2 kids later they became very capsulated. I went back to the same doctor he replaced the implants and scraped out the scar tissue. Within days my left breast began to get firm. 1 year later both breasts are too firm to squeeze, and my nipples are like hard little pebbles that make me look as if im always cold. Are there any non invassive options? Massage, light therapy, acupuncture?

Doctor Answers 3

Effective Treatment of ​Capsular Contracture

#Capsular #Contracture is a condition in which the capsule around the implant thickens and squeezes the implant making it hard and often changing the shape and position of the implant. It is more common in nicotine users (e.g. smoking or nicotine patches or gum). Effective treatment of the capsule frequently involves completely removal of the capsule (capsulectomy), and occasional incisions in the capsule may be somewhat helpful (#capsulotomy). In the past, closed capsulotomy, in which the breast is squeezed until the #capsule breaks, was used. Currently, most doctors avoid this technique because of complications associated with the technique and because the implant companies will void their warranty if this technique is used. At times it is necessary to change the position of the implant, either above or below the muscle, depending upon the initial position, changing the #implants themselves and, on occasion, the use of Acellular Dermal Matrix (ADM) may be required to prevent continued problems. Although the published risk of capsular contracture is approximately 9-11%, in our practice it is somewhat lower after initial implant placement. Once capsular contracture occurs, the risk of problems with secondary surgery rises to between 25% and 40%. The use of #Singulair and Vitamin E may be of benefit. If you had a Sientra Textured Implant placed as a primary procedure and a contracture occurs in the first two years after primary augmentation, then their implant warranty may apply.

Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews

When contractures occur

your options are limited.  You can simply leave things as they are until it reaches a point where you have to have something done.   You could explore Aspen ultrasound technology but before I plunk down dollars for this, I would ask for some kind of warranty... from partial refunds or free sessions if it doesn't improve after you've had the recommended number of treatments.  Finally, you could return to the OR for a more definitive repair and scraping the pocket out is not one of them.  Terms such a neopocket, new implant, ADM, Keller Funnel, antibiotic irrigation of pocket are terms that should be reviewed during your consultation.

Curtis Wong, MD
Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews

Treatment options for capsular contracture

Unfortunately the options for nonsurgical treatment of capsular contracture are limited. There is no evidence that massage helps. Medications such as Accolate  work sometimes but are rarely completely effective. Ultrasound is being studied and there a franchises that offer it but they have not yet reported results despite having done it for several years, so that is a red flag. The most effective option is implant replacement, capsulectomy, and use of an ADM such as Strattice.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 52 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.