I am going to have capsulorrhaphy , and an implant exchange (downsizing) in a few months. I have read that permanent internal sutures are necessary. Does this mean they are not dissolvable? Thank you.
September 4, 2016
Answer: Capsulorrhaphy does not require permanent sutures and you should be able to ask your surgeon to use the slowly dissolving sutures like PDS or Vicryl that will allow for adequate time for your pocket to heal. In my practice, a cut out underwire bra is required for 6-8 months (including when showering) to help minimize the pressure on the incision line. And even then, the procedure can fail where a revision may be needed so know what your surgeon's policy is before surgery.
Helpful 1 person found this helpful
September 4, 2016
Answer: Capsulorrhaphy does not require permanent sutures and you should be able to ask your surgeon to use the slowly dissolving sutures like PDS or Vicryl that will allow for adequate time for your pocket to heal. In my practice, a cut out underwire bra is required for 6-8 months (including when showering) to help minimize the pressure on the incision line. And even then, the procedure can fail where a revision may be needed so know what your surgeon's policy is before surgery.
Helpful 1 person found this helpful
January 26, 2019
Answer: Capsulorrhaphy and suture type Capsulorrhaphy is closing down the pocket in select locations to move the implant. I have best results with actually removing or heavily cauterizing the area to be closed down, then oversewing it with a long acting, absorbable suture that keeps the area closed off until the pocket heals on its own (like 2-0 PDS). I'm not a fan of permanent, since I do a lot of revision breast surgery and I'm pulling out other surgeon's prolenes, ethibonds, nylons, and other sutures which failed in the first place. Keep in mind if you have a really weak natural capsule, especially with a big implant that goes out and down, and strong pecs, capsulorrhaphy may not be enough.
Helpful 1 person found this helpful
January 26, 2019
Answer: Capsulorrhaphy and suture type Capsulorrhaphy is closing down the pocket in select locations to move the implant. I have best results with actually removing or heavily cauterizing the area to be closed down, then oversewing it with a long acting, absorbable suture that keeps the area closed off until the pocket heals on its own (like 2-0 PDS). I'm not a fan of permanent, since I do a lot of revision breast surgery and I'm pulling out other surgeon's prolenes, ethibonds, nylons, and other sutures which failed in the first place. Keep in mind if you have a really weak natural capsule, especially with a big implant that goes out and down, and strong pecs, capsulorrhaphy may not be enough.
Helpful 1 person found this helpful
