Who Does the Squeeze Release of Breast Encapsulation

Doctor Answers 12

Closed capsulotomy

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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 

Corona Del Mar Plastic Surgeon
5.0 out of 5 stars 130 reviews

"Squeeze Release" (Closed Capsulotomy) of Breast Implant Encapsulation

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Tightly squeezing / crushing a breast with capsular contracture in the hope the scar tissue around the implant would be torn by the pressure was referred to as a CLOSED CAPSULOTOMY. It was a "procedure" done in the surgeon's office after the patient was given a sedative and the surgeon applied force to the breast with both palms locked on the breast until a tearing or popping sound was heard / felt. Unfortunately, the success rate was very short-lived and it was associated by a high rate of implant rupture and bleeding.  As result of which implant manufacturers would void the warranty and refuse an implant burst by application of this medieval technique.

If anyone offers you this solution be aware you are dealing with a Dr. Rip Van Winkle who is out of touch with the current practice of Plastic Surgery.

Dr. Peter A Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon

Closed Squeezing (Capsulotomy) for Encapsulation

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Closed Capsulotomy - Beware

Closed 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.

Capsular contracture treated with manually applied pressure

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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.

Jerry Lugger, MD
Southlake Plastic Surgeon

Open treatment of capsular contracture is the way to go

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The squeeze release of capsular contractures, or closed capsulotomy, has been discredited for years.  There is a high chance of implant rupture as well as injury to the surgeon's hands.  An open capsulotomy or capsulectomy is the standard treatment.  Personally, I have had more success with capsulectomy, removal of the capsule.

Bruce E. Genter, MD, FACS
Abington Plastic Surgeon
4.3 out of 5 stars 17 reviews

Capsular Contracture Following Augmentation

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I am not certain of exactly what you are referring to when you state "squeeze release".  I think that you may mean a closed capsulotomy in which the capsule is broken up by directly squeezing on the scar which forms around the implant and is the capsule.  This has been declared a procedure which should not be performed by the FDA for fear of rupturing the implant and is no longer practiced.

John Whitt, MD (retired)
Louisville Plastic Surgeon

Squeeze technique to release capsular contracture

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This is not done anymore.  The technique can rupture the implant and possibly force the silicone gel out into the breast tissue, which may be difficult to remove.  It also is not usually effective as a long term treatment, as the contracture tends to recur.

Not Recommended Squeeze Release Technique

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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.

Paul S. Gill, MD
Houston Plastic Surgeon
4.8 out of 5 stars 94 reviews

Avoid Closed Capsulotomy

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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.

Kenneth Dembny, II, MD
Milwaukee Plastic Surgeon
4.9 out of 5 stars 36 reviews

Closed capsulotomy

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Closed capuslotomies are not recommended anymore. They are frought with complications like hematomas, ruptured  implants, and a high rate or contracture recurrence. It can even injure the surgeon.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 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.