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Breast Implant Correction

Breast Implant Capsular Contractures

Considering Breast Implant Replacement Surgery ?

Schedule Your Consultation With Washingtonian Top Doctor – Board Certified Plastic Surgeon, Dr. Bennett C. Yang

Breast augmentation is one of the most popular cosmetic surgeries in America, due in large part to its proven record of safety and success.

This popular procedure offers many patients having a smaller bust line the chance to enhance their body contours by receiving shapely, full breasts.

With that being said, although breast augmentation complications are rare, they do affect a small percentage of patients. The most common breast augmentation complication is called capsular contracture. Capsular contracture can affect the way your breasts look and feel. Fortunately, the condition can be treated with medication or a surgical breast implant revision.

When it comes to breast implant replacement – the capsular contracture condition remains the most common reason for breast augmentation revision surgery. To resolve this issue, patients must be aware that it is highly technique dependent, please contact Dr. Yang today.

What Is A Capsular Contracture?

Capsular contracture is the term used to describe a hard firm breasts after breast augmentation surgery. This is caused by thick firm scar tissue that forms around the implant. Capsular contracture is an unpredictable complication. This is the most common complication following breast augmentation. It can form on either one breast or both. It is more common when the periareolar incision is used.

The examination of each breast is classified on the Baker scale of I to IV:

  • Grade I: The breast is soft and normal
  • Grade II: The breast is less soft than normal, and the implant can be palpated
  • Grade III: The breast is firm, the implant can be palpated easily, and an asymmetrical distortion of shape can be appreciated
  • Grade IV: The breast is hard, tender, painful, and the shape distortion is pronounced or severe

Capsular contracture usually develops slowly after breast augmentation surgery. After the breast implants are placed, sometimes the body recognizes them as a foreign object. As a type of defensive response, the body forms a pocket of tissue around the implant. In normal circumstances the capsule of tissue is thin, and still leaves room for the implant to move.

When you experience capsular contracture, your body has formed a thick layer of scar tissue around the breast implant. The breast tissue is hard and other symptoms maybe occurring. In most cases, pain can start when the scar tissue squeezes in on the breast implant.

Capsular Contracture Symptoms

Capsular Contracture is an internal condition causing symptoms that are usually immediately noticeable. The most common symptoms of capsular contracture include:

  • Breast tissue that is hard to the touch
  • Breasts that feel tight or too firm
  • Tingling or pain in breast or under arm pit
  • Breast implants that shift or change positions
  • Nipples that are no longer symmetrical
  • One breast implant that sits higher than the other

What Treatment Methods Are Available For Capsular Contracture?

1. Zafirlukast (Accolate)
Zafirlukast (brand name: Accolate) taken twice a day for 90 days has been shown to result in a softening of the scar tissue around the implants in approximately 50% of cases. This medication is normally used to treat asthma, but is helpful in reducing the degree of capsule scar hardness. Risks: Allergic rashes.

2. Capsulectomy (complete removal of the scar capsule)
For those patients without significant softening during a trial of Accolate, the only other effective alternative is to completely remove the scar tissue surrounding the implant. Although this does not eliminate the possibility of future scar tissue forming around the implant, it does reduce the risk of subsequent capsular contracture when compared to other methods. This is also typically done with an exchange to new implants at the same surgery.

There are 3 Breast Implant Placement Options:

  • Submuscular placement placing the breast implant below the pectoralis muscle of the chest.
  • Dual-plane placement puts the breast implant partially under the muscle.
  • Subglandular (Subfascial) placement puts the breast implant below your breast tissue and over the chest muscles.

Your Consultation
All consultations are with Dr. Bennett C. Yang. He will discuss your overall health and the safety of having this procedure and answer any questions you may have. Dr. Yang will help to give you a better understanding of what a capsular contracture is, and how breast implant revision can help. Contact us now, to learn more.

**Please note: some of our patient before and after surgery images may have been altered to remove identifying tattoos and other marks by request of the patient. No other alterations were performed.

Insurance Guidelines

In Maryland, Virginia, and Washington, DC, breast revision is usually not covered by insurance. An exception is when the indication for surgery was due to breast reconstruction or back issues due to heaviness of large breasts. Call us for more information.

A Final Note From Dr. Yang

The specific risks and the suitability of breast revision (or other breast surgery procedures) for any patient can only be determined through a consultation. Please call us today.

Well Known For Breast Revision Surgery, Dr. Bennett C. Yang has been in practice for over 20 years and is an expert in breast replacement with capsular contracture.  Please look the amazing results from past breast revision before and after results, by following us on Instagram @bennettyangmd Make your appointment at any of our 3 offices in Rockville, Annapolis, and McLean, Virginia. For patients who travel from out of state, Dr. Bennett C. Yang will be happy to do a preliminary virtual consultation over the phone or skype to discuss your needs and goals. Please call Bonnie to confirm your appointment.

Breast Implant Replacement – Revision Monthly Payment Plans

Follow Top Plastic Surgeon Bennett C. Yang on Instagram @bennettyangmd

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