When breast implants (or any foreign object, such as pacemakers or artificial joints) are placed into the body, the body encapsulates it in a fibrous tissue lining. Many surgeons refer to this lining as the capsule, tissue capsule, or scar capsule, although it is not exactly the same as scar tissue. This is the body’s natural healing response after breast implant surgery and is to be expected.
Capsular contracture, the most common complication of breast augmentation surgery, can happen at any time, but seems to be more common in the first several months after surgery. In the initial operation, a pocket is created for the implant underneath the breast. During the healing process a capsule forms, which is comprised of fibrous tissue.
As the healing process continues during the first year, the scar tissue within the breast and around the implant will remodel and sometimes shrink. Under normal conditions the pocket remains open, allowing the implant to look and feel natural. However, some people can have an exaggerated healing response in the breast tissue during which the capsule will tighten, and squeeze the implant. This may cause the breast to feel hard, and to appear distorted. In severe cases of capsular contracture, the implant feels very firm, may become painful and can take on a “ball-like” appearance. It’s important to remember that it’s not the implant that has hardened. The shrinking of the capsule compresses the implant, and causes it to feel hard, but once the implant is removed it’s just as soft as it was the day it was inserted.
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Capsular contracture revision surgery
While there are several procedures that can be used for capsular contracture treatment, Beverly Hills Breast surgeon, Dr. Brenner only employs those with the highest success rate. His primary technique is called an open capsulectomy, in which he goes into the pocket and removes the scar capsule to release the capsule’s hold on the implant. Once the capsule is removed, your body will form a new capsule around the breast implant. Occasionally, Dr. Brenner will perform this procedure at the same time as implant pocket relocation to the submuscular position for women who have developed capsular contracture with their implants placed above the muscle.
Dr. Kevin Brenner is a top breast revision surgeon in Beverly Hills who has performed countless capsular contracture repair surgeries. His years of experience and superior results have earned him a reputation for providing some of best capsular contracture treatment Beverly Hills & Los Angeles have to offer.
Acellular dermal matrices in Capsular Contracture Repair surgery
Capsular contracture occurs when the natural tissue around a breast implant hardens. When it’s severe, capsular contracture can cause a rock-like, distorted appearance in the breasts. With each breast augmentation and breast reconstruction procedure that uses implants, there is an inherent risk of capsular contracture. In the past, capsular contracture has been a struggle for cosmetic surgeons to handle, following both purely cosmetic and reconstructive procedures.
With the continued incidence of capsular contracture, another development has arrived in the form of acellular dermal matrices (ADMs), such as Alloderm or Strattice. These can be used to treat capsular contracture or other defects following breast surgery, including rippling or malposition of implants.
In addition to ADMs, asthma medications have proven somewhat successful in improving capsular contracture. Unfortunately it is only useful in about 40-60% of patients, and requires off-label usage.
Through recent testing, ADMs have had successful results in reducing the risk of capsular contracture. This includes recurring capsular contracture that may develop following breast revision surgery.
Asthma medication and capsular contracture?
In 1996 the FDA approved the use of zafirlukast (Accolate; AstraZeneca Pharmaceuticals, Wilmington, DE), a leukotriene receptor antagonist (LTRA), for thetreatment of asthma.
A few select patients who were prescribed Zafilukast for the management of their asthma symptoms noted that they also experienced improvement in the thickness and texture of their hypertrophic scars. Zafilukast was then given to a patient with a Baker Grade 3 capsular contracture following breast augmentation surgery. This particular patient experienced a softening and improvement of the severity of her capsular contracture.
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Call our office in Beverly Hills to get more information on breast revision surgery, and specifically the best capsular contracture treatment Los Angeles has to offer. Dr. Kevin Brenner is a board certified plastic surgeon and specializes in breast revision surgery, putting you in some of the safest, most caring hands available.Call us at 424-230-7779 today or click here to schedule online