Breast replacement 1 year post-explant - any success stopping the capsular?

Question

I'm in my 50's. I had breast implants for 35 years with proper replacement maintenance. I struggled with capsular and opted to remove my implants and give my body a break, I am wanting to put my implants back in after a year break. Has anyone done this with success with stopping the capsular?

Jose Telich, MD · Answer

Dear Diligent954426 thank you for your question. 
Capsular contracture occurs when scar tissue hardens around one or both implants. Although this is seen in around 10% of patients, the risk increases when implants are in place for over 10 or 15 years. Breast implants are not lifetime devices, so if you are planning on getting a new breast augmentation you should bear in mind that you might need another surgery in a few years to remove or exchange the implants.

Camille Cash, MD · Answer

Unfortunately if you have had capsular contracture in the past you are at a higher risk of developing it in the future.  However there are techniques that we use to minimize this risk.  Some include using the Keller Funnel during surgery, placing implants beneath the muscle, and bathing the pocket and implants with antibacterial solution prior to augmentation.  I encourage you to discuss your concerns with your surgeon to learn more.  I've included a video on capsular contracture that I hope you find helpful.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. Unfortunately once you have had capsular contracture you have a higher likelihood of this happening again. Usually we wash out the pocket very well, going under the muscle reduces the chances of capsular contracture and we typically place our patients on medication to help prevent that. Speak to your plastic surgeon about your medical options and risks.

Daniel Barrett, MD · Answer

Dear Diligent954426,
capsular contracture happens. In fact, every implant has a capsule form around it, its just a certain percentage develop thick capsules. There is a lot we don't know about it actually. Some think that bacteria that gets on the implant during insertion can increase the risk. Thats why we use a Keller Funnel in our practice to reduce that possibility. Our capsular contracture rate is less than 2% because we use a keller funnel as well as meticulous operating room techniques.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ronald J. Edelson, MD · Answer

Yes. If any of the old capsule can be removed it’s worth removing. If the original implants were above the muscle, go below the muscle this time. And use saline instead of silicone. They have a much lower incidence of capsule.

Breast replacement 1 year post-explant - any success stopping the capsular?

Answers (8)

Answer: Capsular contracture

Answer: Capsular contracture

Answer: Breast implants

Answer: Breast implants

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Everything you need to know about Breast Augmentation

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

Breast replacement 1 year post-explant - any success stopping the capsular?

Answers (8)

Answer: Capsular contracture

Answer: Capsular contracture

Answer: Breast implants

Answer: Breast implants

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Recommended reading

Everything you need to know about Breast Augmentation

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