Can injectable cortisone help with capsule contracture?

Question

have stage 4 capsular contraction. My glands on the top and toward my armpit are sore and there's a large lump of what feels like scar tissue. Can I try cortisone into the lump. It clears keloid scarring

Christopher J. Morea, MD · Answer

Thank you for your question. I am sorry you are having this problem. I do not believe a cortisone injection will help. The treatment for grade 4 CC is complete removal of the scar tissue capsule. Best of luck

David J. Wages, MD · Answer

Thank you for your question.  There are no scientific studies that I'm aware of that show injection of cortisone will resolve capsular contractures.  There are also many undesirable side effects of injection as well not to mention the possiblilty of damaging the implants.  Most reputable surgeons I know would recommend removal of implants and capsules for treatment.  The lump you are referring to needs to be evaluated and significant diagnoses ruled out before undergoing treatment. I would recommend
starting with a face to face consult with a Board Certified Plastic
Surgeon who has experience in breast surgery. During your visit your surgeon
should be evaluating your health to determine if you are a good surgical
candidate and examining your tissues to get a sense of what type of procedure
your tissues will allow. Only with a hands on exam can this be determined.
During the consult you and the surgeon should be understanding of the goals and
realistic outcomes of your choices. Once an exam and opinion is rendered then
you can decide if surgery is right for you. Good luck.

Kiran Polavarapu, MD · Answer

Unfortunately, cortisone most likely will not help and would not be recommended. A grade 4 capsular contracture usually needs surgery. Seek the advice and consultation from a boarded plastic surgeon. Good luck.

M. Bradley Calobrace, MD, FACS · Answer

Sounds as if you have developed a Capsular Contracture- sorry to hear this. This is the most common complication with Breast Augmentation. You do not want to inject anything near this "lump" you feel as this could be your implant you are feeling- you do not want to rupture/puncture your implant. This is typically cared for by surgery- depending on how severe your Capsular Contracture is- sometimes oral meds and or ASPEN ultrasound treatments can be done.  (You will have to find a surgeon that has the ASPEN treatments- only a handful of surgeons have). You should see your surgeon sounds as if this is a Grade 3-4 Capsular Contracture which typically requires surgery.

Ravi Somayazula, DO · Answer

The best treatment for grade 4 capsular contracture is complete surgical removal of the capsule, changing the pocket of the original implant, and support the pocket with surgical mesh to try to minimize its recurrence. It is best to seek the advice of a board certified plastic surgeon.Best wishes,

Tal T. Roudner, MD, FACS · Answer

Unfortunately the only treatment of a stage 4 capsular contracture is a surgical treatment. Replacing the implant and a capulectomy is the only treatment. Some use a surgical scaffold to try and reduce the recurrence rate. Seek a board certified plastic surgeon to treat your problem.Good luck!

Gerard Lambe, MBChB · Answer

This is not something I would recommend and have never heard of anyone trying it.Keloids are very different to a capsule. There is risk of damage to your implants and infection.Recommended treatment is dividing or removing the capsule.Best of luck

Can injectable cortisone help with capsule contracture?

Answers (7)

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