Who Does the Squeeze Release of Breast Encapsulation

Closed Capsulotomy - BewareClosed capsulotomy procedures are not recommended as they can cause implant rupture, internal bleeding, distortion and other complications. Off label usage of Singulair may be your best bet and if this does not work capsulectomy, change of implant and its pocket and other options are more acceptible techniques to deal with your problem. Discuss with a board certified plastic surgeon.

The answer to your question is….”Hopefully no one.”

Closed capsulotomy has not been performed for many years and is a barbaric way of addressing a capsular contracture. In addition, it was not very successful as the recurrence rate for capsular contracture was high, and there was additional risk for hematoma, implant rupture, and extracapsular gel migration.

Capsular contracture is best managed with a controlled surgical capsulotomy and/or capsulectomy, and implant replacement if required.

Best wishes.

Squeezing an encapsulated breast implant in the hopes of resolving a capsular contracture is of historic value only. This practice fell out of favor over 15 years ago. The idea of applying force to tear open the capsule caused bleeding, implant rupture and on occasion would force silicone into the breast tissue further complicating the problem and eventual required surgical correction.

It is a bit concerning that you even know what this is. Do not allow anyone to perform this on you. Seek out a board certified plastic surgeon to help you with this problem.

Good luck 

I know of no one that is currently practicing this technique; the hope was that by applying sufficient force manually, that one could break or release the tight capsule about the breast implant.  Unfortunately, the release if effective was only short lived, and often produced additional problems including rupture of the implant, bleeding, hematomas, as well as voiding the warranty from the implant manufacturers.  Currentlly patients are better served with open capsulectomies and replacement of implant if appropriate.

This is an older technique where the doctor would fracture the capsule around the implant in hopes of relieving pain and giving the patient aesthetic improvement.   It was found that patients had a high risk of bleeding from the tear in the capsule and that the problem would frequently recur.  

We now recognize the underlying problem, and recommend a capsulectomy (scar removal procedure), which has a very high success rate in treatment of capsular contracture with a much lower recurrence rate in comparison to the closed (squeeze release) technique.

I wish you a safe and healthy recovery.