When cleaning up a capsular contracture is Strattice Mesh a must so cc doesn't return? I've had 4 surgeries. Incision through the areola and it just keep returning :(
Answer: Treatment of Recurrent Capsular Contracture with Strattice Capsular
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Answer: Treatment of Recurrent Capsular Contracture with Strattice Capsular
Helpful 3 people found this helpful
Answer: Revision Breast Augmentation for Capsular Contracture For patients with recurrent capsular contracture, it is important to attempt to minimize as many risk factors as possible. Acellular dermal matrices (like Strattice and Alloderm) have been associated with a reduced risk of capsular contracture; they are expensive, Alloderm being significantly more so than Strattice. Other things that you (and your surgeon) may want to consider to minimize your risk of occurrence include the following: select a conservative to moderate sized implant volume (not the biggest implant you can fit), place the implant in a submuscular pocket, approach the implant pocket via a breast crease (inframammary fold) incision as opposed to an areolar or axillary incision, be a non-smoker, consider use of a leukotriene antagonist (e.g. singulair), minimize contamination from skin/ductal bacteria with irrigations/glove changes/minimal touch techniques, and consider the use of textured implants. If you develop capsular contracture again despite optimizing all the things that you can, you may want to consider removal of your implants with a fat transfer. It may take more than one fat transfer to get your desired volume. However, if you don't have implants, you can't get capsular contracture. Best of luck.
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Answer: Revision Breast Augmentation for Capsular Contracture For patients with recurrent capsular contracture, it is important to attempt to minimize as many risk factors as possible. Acellular dermal matrices (like Strattice and Alloderm) have been associated with a reduced risk of capsular contracture; they are expensive, Alloderm being significantly more so than Strattice. Other things that you (and your surgeon) may want to consider to minimize your risk of occurrence include the following: select a conservative to moderate sized implant volume (not the biggest implant you can fit), place the implant in a submuscular pocket, approach the implant pocket via a breast crease (inframammary fold) incision as opposed to an areolar or axillary incision, be a non-smoker, consider use of a leukotriene antagonist (e.g. singulair), minimize contamination from skin/ductal bacteria with irrigations/glove changes/minimal touch techniques, and consider the use of textured implants. If you develop capsular contracture again despite optimizing all the things that you can, you may want to consider removal of your implants with a fat transfer. It may take more than one fat transfer to get your desired volume. However, if you don't have implants, you can't get capsular contracture. Best of luck.
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February 12, 2014
Answer: It sounds like you would be a good candidate for Strattice Mesh Since you have had four prior breast procedures, I would suggest complete capsulectomy, insertion of two brand-new silicone implants, changing the position of the breast pocket and insertion of Strattice mesh. I think you would be an ideal candidate for insertion of Strattice mesh since you have had so many problems. Strattice mesh has been shown to significantly decrease the recurrence of breast capture contracture after breast augmentation. Personally, I use Strattice mesh whenever there is a recurrence of a breast implant capsular contracture. Good luck.Sincerely,J. Timothy Katzen, MD, FACS, FICSChief of Reconstructive Plastic Surgery
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February 12, 2014
Answer: It sounds like you would be a good candidate for Strattice Mesh Since you have had four prior breast procedures, I would suggest complete capsulectomy, insertion of two brand-new silicone implants, changing the position of the breast pocket and insertion of Strattice mesh. I think you would be an ideal candidate for insertion of Strattice mesh since you have had so many problems. Strattice mesh has been shown to significantly decrease the recurrence of breast capture contracture after breast augmentation. Personally, I use Strattice mesh whenever there is a recurrence of a breast implant capsular contracture. Good luck.Sincerely,J. Timothy Katzen, MD, FACS, FICSChief of Reconstructive Plastic Surgery
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February 12, 2014
Answer: Treating capsular contracture hi and thanks for your question. Treating capsular contracture is not so simple. would advise implant removal with total capsulectomy to create a fresh pocket and apolyurethane textured Silicone breast implant. At Elite Surgical in the UK, prefer these implants as they have the lowest capsular contracture rates at around 1% after 15years! compared t over 20% CC rates with textured silicone implants! do your research and consult an accredited PS. Acellular dermal may help support the lower pole of your breast, but there is no definitive data to my knowledge that shows it will prevent CC. good luck!
Helpful
February 12, 2014
Answer: Treating capsular contracture hi and thanks for your question. Treating capsular contracture is not so simple. would advise implant removal with total capsulectomy to create a fresh pocket and apolyurethane textured Silicone breast implant. At Elite Surgical in the UK, prefer these implants as they have the lowest capsular contracture rates at around 1% after 15years! compared t over 20% CC rates with textured silicone implants! do your research and consult an accredited PS. Acellular dermal may help support the lower pole of your breast, but there is no definitive data to my knowledge that shows it will prevent CC. good luck!
Helpful
February 11, 2014
Answer: Contracture is frustrating Thanks for your question. Data shows that capsular contracture is increased in those with previous contracture, history of bleeding or infection, large implant sizes and subglandular pockets. Newer implants that are textured have the lowest incidence of contracture. I would propose changing the approach to an IMF incision and use the Strattice if the other things above have already been done. I do agree that consideration also has to be given to taking the implants out indefinitely to let things cool off and then consider other options (implants vs. fat). Best of Luck!
Helpful
February 11, 2014
Answer: Contracture is frustrating Thanks for your question. Data shows that capsular contracture is increased in those with previous contracture, history of bleeding or infection, large implant sizes and subglandular pockets. Newer implants that are textured have the lowest incidence of contracture. I would propose changing the approach to an IMF incision and use the Strattice if the other things above have already been done. I do agree that consideration also has to be given to taking the implants out indefinitely to let things cool off and then consider other options (implants vs. fat). Best of Luck!
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