Will putting new implants under the muscle reduce capsular contracture? (Photo)
Doctor Answers 5
Concerned about Capsular Contracture
One of the most common problems is breast capsular #contracture or the development of thickening, and contracture of the capsule that exists around the breast implants. Severe capsule contracture probably occurs in less than 15% of augmentation patients. Every woman has a breast capsule around their implant and this is a normal phenomenon. The capsule itself could be as thin as Saran Wrap but may also become calcified and thickened. As it thickens and shrinks, the patient may develop a feeling a firmness of the breasts and in its worst situation, the breast may become painful and abnormal in appearance, achieving a very round, hard, and uneven appearance. There may be distortion and possible breakage and leakage of an older implant, but may also include a newer #implant. Nicotine users, such as smokers, have up to a 30x increased risk of #capsular contracture.
Saline implants may deflate spontaneously. When the patient has significant #symptoms, complete or partial leakage of their saline implant, or concerns regarding silicone leakage, it is recommended that the implant is removed and exchanged. Frequently, this is performed on both sides depending upon the age of the implant. Capsulotomy or opening of the capsule may be required or frequently capsulectomy, which is removal of the scarred capsule, is recommended to ensure adequate pocket dimensions.
New implants may then be placed in the same existing position or may undergo a change of #placement frequently from submammary to subpectoral position and, on occasion, the other way around.
-such asthma medication is USELESS and has NO scientific foundation as capsular contracture therapy, in fact its hepatotoxicity makes that in many countries its use is restricted to pneumologists-only and its use for other purposes is strictly forbidden, don't take it!!!
-CUI implants are macrotextured, this means prepared against capsular contracture and with low rates for it, however the Motiva are microtextured, this means with higher rate of capsular contractures, makes no sense what you have been suggested
-the fact one implant is high is not necessarily capsular contracture
-polyurethane coated implantes are the indication in recurrent capsular contracture, in subfascial plane of placement, you are a case for this
Do seek the opinion of a very good revisional plastic surgeon with solid experience.
Breast Implant Revision
Yes, infection and bacteria has been implicated with capsular contracture and sometimes the implants must be removed.
Submuscular pocket placement is often an option.
Note, large implants often have more complications and problems.
Best to follow up directly with your plastic surgeon.
I hope this helps.
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