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Capsule Contracture

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As a natural reaction to any device placed in the body, scar tissue will form around the breast implant surface creating a capsule.

The most effective treatment of Grade III-IV capsular contracture is to remove the whole capsule (capsulectomy). Just scoring the capsule (capsulotomy) usually is ineffective. Other procedures such as closed capsulotomy in which the breast is squeezed until the capsule is broken is not recommended as it may cause implant rupture and in fact voids the implant warranty. Our usual procedure for subglandular capsular contracture is to remove the entire capsule and perform a submuscular conversion. For submuscular capsular contracture we will perform a capsulectomy. There is some excellent new data that placement of acellular dermal matrix products such as Strattice prevent capsular contracture. Our current regimen is to use Strattice for all capsulectomies for 2 reasons - to prevent recapsular contracture and for support to avoid inferior stretch Operative times vary but usually are 1½ hours per side. A drain is used after capsulectomy and stays in for 5-7 days. Recovery is similar to a primary augmentation. Postoperatively, massage is recommended.

Read More About Post Operative Instructions for Capsule Contracture


Procedure Details:The patient above came to our surgery center in Boca Raton, Florida to address the complications from previous breast surgeries at another surgical center. She multiple surgeries for capsule contracture, and had multiple capsulectomies.  She came to us with her implants already removed.

She underwent residual capsulectomies  and reaugmentation with Mentor  moderate plus profile 275cc implants and  Strattice Tissue Matrix(link to Strattice Page) in our Boca Raton office. This after photo is 2 years post operstively. She has told Dr. Pozner that this surgery has been a “miracle cure” for her.

 

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