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What is capsular contracture?

When any medical device is implanted, it is natural for the body to develop scar tissue around the device–this is normal in every case. For most women who have breast augmentation, the fibrous scar tissue within the surgical pocket simply helps to hold the implant in place. In some cases, the body reacts more significantly to the implant, producing an excess of the fibrous scar tissue, which tightens around the implant.

The condition occurs more commonly when the implants are placed under the glandular tissue, rather than under the chest muscles. Once the condition develops, it is necessary to undergo breast revision surgery. Capsular contracture varies widely in severity, with the most serious cases causing pain and leaving the breast appearing distorted in shape.

What is capsular contracture surgery? What should I expect?

Several surgical techniques may be employed by Dr. Beale, based on the individual woman’s condition. These include:

  • Capsulectomy: This procedure involves removing the implant, along with the excess of scar tissue, and replacing the implant. The surgery may involve the use of a surgical dermal matrix to help hold the new implant in the correct location.
  • Open capsulectomy: An incision is placed through the areola or in the breast fold, through which the tightened scar capsule is opened, allowing the pressure to be released. The surgical pocket holding the breast implant is increased in size, allowing the implant to settle into place correctly.

The risk of developing capsular contracture can be significantly reduced by ensuring your plastic surgeon employs advanced patient health and safety protocols. While the cause of capsular contracture is not fully understood, it is known that it is less likely to develop with a submuscular placement of the implant. When you meet with Dr. Beale, he can evaluate your condition and advise you of the procedure he will use to restore your breast, so it feels and looks plump, soft, and natural.

Capsular Contracture Treatment

Why choose Dr. Beale for capsular contracture treatment in Dallas?

It is distressing to realize you will need to undergo another surgery after breast augmentation, and ensuring your results are long-lasting is of critical importance. Dr. Beale is arguably the most talented breast surgeon practicing in Dallas and employs the most advanced surgical techniques for this delicate procedure.

The symptoms of capsular contracture

If you are experiencing any of the following symptoms, it may be necessary to undergo a breast revision surgery to resolve capsular contracture:

  • Breast feels tight
  • The implant edges are visible
  • The breast feels hard
  • A breast has changed shape
  • You are experiencing pain
  • The breast is distorted in shape

You can be confident in Dr. Beale’s meticulous approach, and the personalized care you will experience, along with genuine warmth and compassion. He and his team of medical professionals are committed to ensuring all health and patient safety protocols are followed during the surgery. The end result will be a breast that is restored to look and feel natural, free from the discomfort associated with the excess of scar tissue. The procedure will be performed in his private, boutique plastic surgery clinic in Dallas.

How long is the recovery after capsular contracture treatment?

Every person heals at a slightly different rate, but generally, you can expect from one to two weeks for your recovery. It is normal to experience some swelling and discomfort, and you will have prescription pain medication to keep you comfortable during the initial stages of healing. You will be wearing a surgical bra, which you must continue to wear to limit swelling and protect your corrected breast. You should avoid vigorous physical activities, lifting your arms above your shoulders, or exercise until given the go-ahead from Dr. Beale, which is typically within a few weeks.

Capsular contracture: Degrees of the condition

  • Grade I: The breasts appear natural and feel soft and bouncy.
  • Grade II: The breasts appear normal visually but feel firmer than expected.
  • Grade III: The breast implants are somewhat constricted, leaving the breasts looking abnormal and feeling firm.
  • Grade IV: The breasts are hard, feel painful, and the shape is abnormal in appearance.

Only Grade III and IV cases require revision surgery.

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