I might be getting a capsular for the third time what can be done this time to prevent from coming back again?

Question

I have had two capsulars form since my initial surgery Oct 2013, first time only tissue was removed on Sep 2014 and the second time Jan 2015 I had them replace the implant but it might be forming for the third time, they had me take asthma medication i did ultra sounds, vitamin E, fish oil and milk thistle, Is there a reason why this keeps forming? I don't think my body can take another surgery just to get a capsular again,. Should i look into a different surgeon?

Tom J. Pousti, MD · Answer

I am sorry to hear about the complications you have experienced. Capsular contraction can be a very frustrating complication for both patients and surgeons.  In my practice, I have found the most success treating these difficult problems utilizing techniques such as sub muscular pocket conversion (if relevant), capsulectomy, use of fresh implants, and the use of acellular dermal matrix.  Acellular dermal matrix is a biologic implant that carries the ability to become integrated into native tissue. It is made by taking a full thickness section of skin from a donor source (his human, porcine, or bovine in origin).  I hope this, and attach link ( demonstrating a case utilizing acellular dermal matrix) helps. Best wishes.

Richard Baxter, MD · Answer

Treatment of capsular contracture usually includes capsulectomy (removal of the scar capsule) and implant replacement, in the same operation. If the implant is above the muscle then going under the muscle is also a good idea. The most effective option for recurrent cap con in my experience is the above plus placement of Strattice. This is an acellular dermal matrix that transforms into living tissue, it adds support and coverage for the implant (which may be helpful after capsulectomy).

Ioannis Michael Ch. Salivaras, MD · Answer

Whenever a patient is straggling with intense and noticeable capsule contracture then there is a protocol to be followed which dictates type of implant exchange from smooth to textured or polyurethane covered ones (available outside US only) and change of plane (from sub glandular to retro muscular or vice versa) . The medicines rarely they manage to resolve or prevent the problem significantly. If after the last procedure still capsule contracture keeps insisting then the only option is to forget about silicone implants and consider fat grafting if available at your body.

Jourdan Gottlieb, MD · Answer

It would be helpful to know if the capsules were removed at the time of revision surgery, and to know if the implants are above or below the muscle. Best approach if you choose to do another surgery is to remove the entire capsule, to use new implants, probably textured, and to use an ADM, acellular dermal matrix, such as Strattice,  as part of the reconstruction. All the best.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for your question and I have had 100% success using a dermalmatrix to treat capsular contracture and would have used it with you on your third procedure though it does add costDr Corbin

I might be getting a capsular for the third time what can be done this time to prevent from coming back again?

Answers (5)

Answer: Recurrent CC

Answer: Recurrent CC

Answer: CC

Answer: CC

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I might be getting a capsular for the third time what can be done this time to prevent from coming back again?

Answers (5)

Answer: Recurrent CC

Answer: Recurrent CC

Answer: CC

Answer: CC

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.