My 1st surgery was on 10/13, smooth silicone unders. Implants never dropped. Capsulotomy with implant exchange followed on 2/14. Cc formed almost right away on both sides. Capsulectomy with implant exchange on 11/14. Cc returned less than 3 months later, although I was on antibiotics for a month post op prophylacticly. Please reccomend a revision expert who can resolve this, and who is also very experienced with dermal matrix. I'm willing to travel anywhere as long as I can beat this.
Answer: Strattice for recurrent capsular contracture With your unfortunately complicated history, you are wise to consider using acellular dermal matrix and to find someone experienced in revision breast surgery. Although not 100%, the use of Strattice for recurrent capsular contracture has been very effective in my experience and others. There are other things to consider such as location of the incision, size and type of implants, etc.
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Answer: Strattice for recurrent capsular contracture With your unfortunately complicated history, you are wise to consider using acellular dermal matrix and to find someone experienced in revision breast surgery. Although not 100%, the use of Strattice for recurrent capsular contracture has been very effective in my experience and others. There are other things to consider such as location of the incision, size and type of implants, etc.
Helpful 1 person found this helpful
Answer: Recurrent capsular contracture Sounds like you may need new implants (textured) with placement of Strattice, an acellular dermal matrix. Capsular contracture can have a very high recurrence rate even with Strattice. You may also have to change your incision site.Best wishes,Dr.Bruno
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Answer: Recurrent capsular contracture Sounds like you may need new implants (textured) with placement of Strattice, an acellular dermal matrix. Capsular contracture can have a very high recurrence rate even with Strattice. You may also have to change your incision site.Best wishes,Dr.Bruno
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April 1, 2015
Answer: Reccurent capsular contracture specialist? Dear pink_skyIt is very difficult to have multiple procedures and not achieve the outcome you wanted. Unfortunately capsular contracture is a difficult to predict and although use of dermal grafts may reduce capsule formation, I would be cautiously optimistic, might be too early to tell.Since I don't have a sense of your size and your implant size, have you considered fat grafting for breast augmentation in place of an implant? that might be angle to avoid the problem altogether if your body type is amenable to it.
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April 1, 2015
Answer: Reccurent capsular contracture specialist? Dear pink_skyIt is very difficult to have multiple procedures and not achieve the outcome you wanted. Unfortunately capsular contracture is a difficult to predict and although use of dermal grafts may reduce capsule formation, I would be cautiously optimistic, might be too early to tell.Since I don't have a sense of your size and your implant size, have you considered fat grafting for breast augmentation in place of an implant? that might be angle to avoid the problem altogether if your body type is amenable to it.
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April 1, 2015
Answer: Capsular Contracture I am sorry that you have had so many complications and so much surgery but I hope that I can lead you down a new path that will hopefully put an end to your complicated course. Capsular contracture can be and is a very difficult problem but now if corrected properly it can be your last operation for a while. My partner and I do a lot of revision breast surgery and difficult recurrent capsular contractures with changing of the pocket, capsulectomy, and placement of an acellular dermal matrix. By taking all of these steps, the recurrence rate becomes less than 1%. Good luck.
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April 1, 2015
Answer: Capsular Contracture I am sorry that you have had so many complications and so much surgery but I hope that I can lead you down a new path that will hopefully put an end to your complicated course. Capsular contracture can be and is a very difficult problem but now if corrected properly it can be your last operation for a while. My partner and I do a lot of revision breast surgery and difficult recurrent capsular contractures with changing of the pocket, capsulectomy, and placement of an acellular dermal matrix. By taking all of these steps, the recurrence rate becomes less than 1%. Good luck.
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January 5, 2019
Answer: Recurrent Capsular Contracture Greetings and Salutations,First off, I am sorry to hear about your recurrent capsular contractures, and I empathize with how frustrated you may feel. My algorithm after one recurrent capsular contracture leads to a detailed discussion of the use of Strattice. I have used Lifecell products for over 10 years - I use Alloderm in 100% of my Breast cancer reconstructive patients who opt for tissue expanders/implant reconstruction. I can safely say that I have seen near zero capsular contracture in these patients. Thus when Lifecell introduced Strattice for cosmetic patients with difficult revisions, I knew it would be quite successful in recurrent capsular contracture cases. I have used Strattice for several recurrent capsular contracture patients of mine with great success. One of the keys is to use a large enough size (Contour 2) of Strattice to prevent the capsular contracture from recurring. Although Strattice can be quite expensive, it is definitely worth the long term investment in my humble opinion. Best of luck!
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January 5, 2019
Answer: Recurrent Capsular Contracture Greetings and Salutations,First off, I am sorry to hear about your recurrent capsular contractures, and I empathize with how frustrated you may feel. My algorithm after one recurrent capsular contracture leads to a detailed discussion of the use of Strattice. I have used Lifecell products for over 10 years - I use Alloderm in 100% of my Breast cancer reconstructive patients who opt for tissue expanders/implant reconstruction. I can safely say that I have seen near zero capsular contracture in these patients. Thus when Lifecell introduced Strattice for cosmetic patients with difficult revisions, I knew it would be quite successful in recurrent capsular contracture cases. I have used Strattice for several recurrent capsular contracture patients of mine with great success. One of the keys is to use a large enough size (Contour 2) of Strattice to prevent the capsular contracture from recurring. Although Strattice can be quite expensive, it is definitely worth the long term investment in my humble opinion. Best of luck!
Helpful 2 people found this helpful
