It is not unusual for a patient to have a second capsular contracture . Statistically, once you have a contracture , your odds increase for a second contracture. As far as scarring, do you heal this way with other scars? If so, that is not unusual. A scar revision and/or laser treatments are your best options.
It is well-known in our plastic surgery literature that once a patient has capsular contracture even after repair the likelihood of her having it again is higher. I have had good success in my practice with removal of the capsule and replacement with as much of it as possible with Strattice. As far as thicker or more darkly colored scars go we have had good success treating these with small holes made by a laser and placement of medications that can mitigate scar formation. Good luck with any anticipated revisions.
A capsular contracture can recur and if you have it once, it is more common to have it the second time. Best of luck.
It sounds like your surgeon has tried various approaches. Unfortunately it has failed. Chances are that any future attempts would fail again. An option to consider is to have the implants removed, sll scar tissue removed, and alliwing no less than a year to let your body heal again before trying to repeat the augmentation. It is not an ideal option but one you msy wish to consider. Go back to square one.
Thanks for posting your question. I am happy to try and help you. It is
important to remember that a board certified plastic surgeon will be your best
resource when it comes to an accurate assessment of your situation, and
Having said that, capsular contracture is a very unfortunate condition that may
develop after breast augmentation surgery. The cause is an enigma and we have
some suspicions that it may be caused by subclinical bacterial infection, or
excessive bleeding during or after surgery. The treatment is also complicated
and some PS will through the kitchen sink at it trying to make it go away. Sometimes
it works, other times it does not. Ultrasound, asthma medications, reoperating,
scar tissue removal, changing to a different breast pocket, breast implant
exchange and even implant removal have been suggested to treat it. The other
problem is that it may go away after all of these heroic efforts only to have
it return. In other cases, one of these may work and it does not come back. It
is a tough problem.
Dr. Michael J. Brown
Northern Virginia Plastic Surgeon
Complications can happen to anyone and you sound like you've had your share. I never mind a patient getting a second opinion and, depending on the issue, will often recommend that they do. If you have concerns about your doc or his/her plan for you spending a few dollars to hear another opinion is money well spent. Good luck.