capsular contracture

Q: Is It Safe to Eat Seafood After Breast Implants Removal?

Submitted by Q-A from clee on Sun, 06/12/2011 - 21:45

I had my saline breast implants removed on 05/20/11 due to capsular contracture. How soon can I start the breasts massaging to help them firm up because I heard it does help somewhat. Is there a detox process after your surgery to help your body healed from surgery and what does it entail? Please advise. Greatly appreciated. Thank you.

A: No food restrictions

If you did not have new breast implants after removing the capsule there are no exercise, nor food restrictions after removing breast implants. However, if you had new implants allow at least 6 weeks for recovery before performing any exercises.

Q: 3 Months Post BA and Anchor Lift: Will a Lollipop Lift Help Saggy Breasts?

Submitted by Q-A from clee on Fri, 05/13/2011 - 13:07

I had a BA and anchor lift on 1/12/11. My rt breast developed a capsular contracture and my left breast is falling into my arm pit and is flat in the upper pole and the bottom is flat and pointy and ugly. My right breast has the CC but at least it has upper fullness. Both are still saggy. My PS agreed to do a lollipop lift for free in his office under a local. If I want the CC removed I have to pay $2400 for hosp/anesthesia fees only. Do you think a lift will help and is it ok to ignore CC?

A: Based on your photos I suspect the implants are submuscular...

Submuscular implants with mastopexy are challenges for recurrent double bubble and waterfall deformity as the breast descent is common while the submuscluar implant is trapped high by the muscle.

Perhaps you should consider having this addressed by implant exchange into submammary position with cohesive gel and a redo mastopexy.

I am not in favor of simply a mastopexy in the office.

Q: What Could This Red, White, Itchy Bump Be?

Submitted by Q-A from clee on Fri, 05/13/2011 - 11:26

I just got over some sort of infection caused by food poisoning and now have cc... I stopped taking antibiotics less than 1 week ago. This raised itchy bump has been coming at night in Thursday, Friday, and Saturday night and going away during the day.

I haven't seen my doctor because it was the weekend. It didnt come Sunday night and now Monday day here it is again this itchy patch. What could it be!

A: Need some photos to help

If you provided more details along with a photo I might be able to comment. Perhaps you have misplaced your query?

Q: What are the Risks of Capsular Contracture with Vitiligo?

Submitted by Q-A from clee on Fri, 05/13/2011 - 08:17

I am 22 days post BA (250cc silicone unders). I have vitilago (which some doctors consider an auto-immune disease and some would not) for 38 years that has periods of remission and advancement.

I take no medications nor treatment. My PS assured me that my risk of developing capsular contracture was the same as any other patient. What are the risks? I am massaging often during the day but worry about any tightness that I experience. My next check up with PS is in three weeks. Thank you.

A: Vitiliigo does not affect capsular contracture

Vitiligo does not affect capsular contracture.  Massage is unproven but very popular recommendation.  I do not recommend massage for textured implants early after surgery as it may affect its ability to adhere to the pocket.

Q: Can daily life stress be another cause of capsular contracture after breast augmentation?

Submitted by Q-A from clee on Thu, 05/12/2011 - 08:28

It has only been a month since surgery (breast augmentation). And have been concerned of what causes capsular contracture. Can stress cause capsular contracture? And what are many ways to "PREVENT" capsular contracture? I have saline breast implants and smooth textured. And the implants are under the muscle. It will be greatly appreciated for all advise.

A: Life stress does not cause capsular contracture

Known predisposing factors causing capsular contracture include, infection, fluid collection around the implant and contamination (bacterial or particulate) of the implant. Known factors lessening the risk of capsular contracture include placement under muscle, textured implants, saline implants. Probably the greatest predictor that you will develop capsular contracture, is a previous history of having had a capsular contracture in the past. This likely is a major indicator of a hereditary component in the evolution of this condition. Now that you are 1 month after surgery, it is important to know that all that is known has already been done with regard to your capsular contracture risk. Since medicine is not advanced sufficiently to alter our hereditary predispositions, it might be most productive to move forward without too much concern on this risk.

Q: My right breast never dropped and now my PS is telling me that he has to re-operate

Submitted by Q-A from clee on Thu, 05/12/2011 - 08:14

BA performed 1 month ago. The next day my bandages were removed, and my right breast was significantly higher than my left. The doctor assured me that it would drop after the muscle relaxed. I'm 5 weeks PO and it's in same exact place. Stitches were removed 10 days PO and he showed me on how to do my daily massaging, which I did religiously. I also wore the strap 24/7. I had a checkup last Friday & he says that he has to re-operate. I don't think that he made the pocket big enough. Opinions welcomed!

A: It can be a challenge to make a diagnosis by photo

You did a great job posting photos demonstrating the asymmetry following your surgery. Unfortunately, there are many potential causes for this problem. The incomplete list of problems include acute fluid collection (seroma, hematoma), asymmetry before surgery, technical aspects such as inadequate pocket dissection, malrotation of shaped implants, etc... Your definitive diagnosis will necessitate at least one other examination by an experienced plastic surgeon. Within my stated partial list of problems, only the acute collection of fluid necessitates early semi-urgent attention. Otherwise you will have the luxury of time to clarify the cause and decide on the best treatment plan for your situation. So do not rush into a plan of action. Best of luck.