Capsular Contracture Treatment
Understanding the complexities of post-breast augmentation complications is paramount in the journey toward optimal aesthetic outcomes. The most common long-term
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Capsular Contracture after Breast Augmentation: An Update for Clinical Practice
Headon H, Kasem A, Mokbel K
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complication
of breast augmentation is capsular contracture, a condition that can impact a patient’s comfort as well as aesthetic outcomes.
Dr. Rukmini Rednam, a board-certified plastic surgeon serving patients from Houston, The Woodlands, and nearby areas, is dedicated to addressing these challenges with expertise and compassion. Capsular contracture is a condition Dr. Rednam encounters and treats with a patient-focused approach, ensuring that each individual receives personalized care aimed at restoring comfort, aesthetics, and confidence. By combining advanced surgical techniques with a deep understanding of the nuances of breast aesthetics, Dr. Rednam is committed to guiding her patients through their recovery from capsular contracture towards achieving their desired results.
What is Capsular Contracture?
Capsular contracture is the most common long-term complication of breast augmentation surgery and breast reconstruction surgery with implants. This condition occurs when the natural
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Advances on Capsular Contracture-Prevention and Management Strategies: A Narrative Review of the Literature
Susini P, Nisi G, Pierazzi DM, Giardino FR, Pozzi M, Grimaldi L, Cuomo R
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scar tissue
, or capsule, that forms around a breast implant tightens and compresses the implant, leading to discomfort, aesthetic changes, and sometimes pain. The most common causes may be local trauma or infection. This condition can affect the shape and feel of the breast, deviating from the intended outcome of breast augmentation. Dr. Rednam has years of experience in applying advanced plastic surgery techniques, and specializes in addressing this complex issue through precise and tailored treatment plans, focusing on restoring both the health and appearance of the breast.
Symptoms of Capsular Contracture
Recognizing the signs of capsular contracture is crucial for timely intervention. Symptoms may include:
- Firmness or hardness of the breast
- Visible distortion of the breast shape
- Unevenness between the two breasts
- Discomfort or pain in the affected breast
- Tightness around the implant area
Capsular Contracture Grading
Capsular contracture is categorized into four grades based on severity:
- Grade I: The breast is normally soft and appears natural in size and shape
- Grade II: The breast is a little firm but appears normal
- Grade III: The breast is firm and appears abnormal
- Grade IV: The breast is hard,
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Risks and Complications of Breast Implants
U.S. Food and Drug Administration
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painful
to the touch, and appears abnormal
How is Capsular Contracture Treated?
The definitive remedy for capsular contracture is breast revision surgery. Dr. Rukmini Rednam, a board-certified plastic surgeon with a distinguished specialization in breast aesthetics, offers a surgical approach tailored to address capsular contracture. This condition, characterized by the hardening of the scar tissue around a breast implant, necessitates a precise and experienced surgical hand to both alleviate the patient’s discomfort and achieve aesthetic objectives. This surgical procedure is not just a treatment option; it is the only method proven to effectively resolve capsular contracture,and Dr. Rednam’s expertise in this area ensures that patients receive the highest standard of care.
Breast Implant Revision Surgery for Capsular Contracture
For patients with capsular contracture, breast implant revision surgery not only addresses the removal of the hardened capsule but also involves the careful consideration of whether to replace the implant, select a different type of implant, or adjust the implant position. Dr. Rednam’s approach is highly individualized, focusing on achieving a balanced and natural appearance while resolving the symptoms of capsular contracture.
Key components of Dr. Rednam’s breast implant revision procedure for capsular contracture include:
- Periprosthetic Capsulectomy: The complete removal (capsulectomy) of the scar tissue capsule. This is often necessary to relieve the tightness and discomfort associated with capsular contracture and to create a healthy environment for any new implant.
- Breast Implant Exchange: Depending on the individual case, Dr. Rednam may recommend breast implant removal followed by the placement of new implants (breast implant exchange). Options include different breast sizes, shapes, or types (saline or silicone implants) of implants to better suit the patient’s body or aesthetic preferences.
- Repositioning of the Implant: In some cases, adjusting the position of the implant, either above or below the muscle, can offer better outcomes in terms of aesthetics and reducing the risk of recurrence.
- Use of Acellular Dermal Matrix (ADM): For certain patients, the incorporation of ADM materials can help support the implant and breast tissue and reduce the likelihood of future contracture.
Frequently Asked Questions About Capsular Contracture
Capsular Contracture FAQs
Several factors may contribute to the development of capsular contracture, including bacterial contamination, implant rupture, local trauma and genetic predisposition. Dr. Rednam will discuss potential causes specific to your case.
While not entirely preventable, certain surgical techniques and post-operative practices can significantly reduce the risk. Dr. Rednam employs meticulous surgical methods to minimize this risk.
There is a risk of recurrence, but choosing an experienced surgeon like Dr. Rednam can significantly reduce this likelihood.
Capsular contracture can occur at any time post-surgery, from within a few months to several years later.
Coverage varies by policy. Dr. Rednam’s team can assist in navigating insurance questions.
Yes, capsular contracture can affect both types of implants.
Following your plastic surgeon’s post-operative care instructions and attending all follow-up appointments are crucial steps in minimizing risk.
Yes, some of Dr. Rednam’s patients do decide to combine their breast implant revision surgery with other procedures. Breast implant exchange is common during capsular contracture treatment, but implants only change the size and shape of the breasts. By undergoing a breast lift procedure at the same time, it’s possible to raise the position of the breasts and areola for a more youthful, perky appearance. If you seek a more comprehensive transformation, you may also wish to undergo liposuction, tummy tuck , or other body contouring treatments. When you consult with Dr. Rednam, you can discuss all of your cosmetic goals with her. She may advise that you spread your treatment plan over a number of separate procedures.
Schedule A Consultation With Dr. Rednam
For individuals facing the challenges of capsular contracture in Houston, The Woodlands, and Texas communities, Dr. Rukmini Rednam offers fully customized treatment that is tailored to each patient’s unique needs. Schedule a consultation to explore your treatment options and embark on a path towards recovery and aesthetic satisfaction.
1 Headon H, Kasem A, Mokbel K. Capsular Contracture after Breast Augmentation: An Update for Clinical Practice. Arch Plast Surg. 2015 Sep;42(5):532-43. doi: 10.5999/aps.2015.42.5.532. Epub 2015 Sep 15. PMID: 26430623; PMCID: PMC4579163. Available: https://pubmed.ncbi.nlm.nih.gov/26430623/. Accessed February 8, 2024.
2 Susini P, Nisi G, Pierazzi DM, Giardino FR, Pozzi M, Grimaldi L, Cuomo R. Advances on Capsular Contracture-Prevention and Management Strategies: A Narrative Review of the Literature. Plast Reconstr Surg Glob Open. 2023 Jun 9;11(6):e5034. doi: 10.1097/GOX.0000000000005034. PMID: 37305202; PMCID: PMC10256414. Available: https://pubmed.ncbi.nlm.nih.gov/37305202/. Accessed February 8, 2024.
3 U.S. Food and Drug Administration. Risks and Complications of Breast Implants. Available: https://www.fda.gov/medical-devices/breast-implants/risks-and-complications-breast-implants#Capsular_Contracture. Accessed February 8, 2024.
Dr. Rukmini Rednam has either authored or reviewed and approved this content.
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