Is Renuva or PRP an option after breast explant? (Photo)

Question

Hi. I'm 39F and after several sets of breast implants, complications, and capsular contracture had an explant with lift about 9 months ago. I'm so worn out from surgery. Are there any in office options such as Renuva or PRP for my right breast? It's kind of dented and just doesn't have much density. It's hard to capture the dent but you can see the lax skin that results from it. I massage them every night. Thank you!

Mats Hagstrom, MD (license on probation) · Answer

I cannot emphasize enough the importance of working with the right providers to begin with.
Your breast looks like your capsular contraction was not completely removed during your explantation.
This is most likely what’s causing the deformity.
It’s difficult to say with that many previous procedures.
 There are no non-surgical options that are going to be of any usefulness at all.
Don’t waste your money on injections with plasma which are borderline ridiculous anyway. Injecting, cadaver fat with all the fat removed a.k.a. Renuva it’s also not going to be a good viable option. Before choosing a procedure, you need to have a clear understanding of what the underlying problem is.
Is the problem a lack of growth factors? Then PRP may work.
Is the problem a lack of volume? Then fat transfer may work if you have sufficient tissue to support the grafted fat.
As I mentioned previously, I think you have internal capsular contraction that should’ve been removed that is distorting the shape of your breast.
 if you want proper assessment, then you’ll need to bring your entire medical record, a minimum your last operative report but preferably all operative reports from all previous surgeries.
Chronic, recurrent capsular contractions are usually caused by a contamination with Staph. epidermidisThis is a very slow, growing bacteria that causes chronic inflammation that is unknown cause of recurrent capsular contractions.
The bacteria cannot be cured treated or diagnosed very easily.
Most regular bacterial cultures will not show the bacteria.
Isolating the bacteria for confirmation, diagnosis is a fairly complex process.
It requires having tissue segments of the capsule And having that tissue treated with ultrasound, then looking for bacteria.
The diagnosis is often made by exclusion, and usually not confirmed by laboratory measures.
It is most likely the reason why people get recurrent capsule contractions.
It is believed that the contamination happens during the initial surgery.
Best,
Mats Hagstrom, MD

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Is Renuva or PRP an option after breast explant? (Photo)

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