closed capsulotomy - JustBreastImplants.com Forums - Breast Augmentation, Breast Implants, and Plastic Surgeons

hsh · 07-30-2008, 07:44 PM

Hello -

I went for my six week appt. today with my PS. At week 3, he put me on accolate b/c he said my breasts were too tight/firm. I have taken it twice/day every day and have been massaging regularly. Today, he said they were still too firm but never mentioned the words "capsular contracture." Without telling me what he was about to do, he proceeded to MASH THE HELL out of my breasts (sorry, but there's no other way to say it!) until we heard/felt the scar tissue "pop". I was WRITHING in pain, kicking my legs, squeezing the nurse's hand, begging him to stop. He did, but only after he heard that pop! So, basically, I think I had a closed capsulotomy today without it being discussed with me first! I am very upset now that I have read that this practice is no longer recommended and can be dangerous. Can you please tell me your personal opinion on closed capsulotomy, the chances of a rupture now that I have had this done and how I need to handle this situation with my dr. to assure that he doesn't do this again at my three month check up? Thanks very much for your time.

Dr. Kearney · 07-31-2008, 03:36 PM

When the silcone scare happened closed capsulotomies stopped because of the fear of spreading around silicone into places it would not normally go. Today they are not does as commonly but I perform usually one or two a year after discussing the issues with the patient. Risk of implant rupture when you are six weeks out is virtually zero, it is only when the scar capsule gets calcified that the risk of rupture increases and then it should not be done.
I am sorry he put you through it without discussing it with you but short of your immediate discomfort I don't believe there will be any long term consequences. I am not a believer in accolate - I don't use it as there is no data to support its benefit.

Dr. Kearney

07-30-2008, 07:44 PM	#1
hsh Join Date: Jul 2008 Location: Houston, Texas Posts: 15 Thanks: 0 Thanked 5 Times in 4 Posts	closed capsulotomy Hello - I went for my six week appt. today with my PS. At week 3, he put me on accolate b/c he said my breasts were too tight/firm. I have taken it twice/day every day and have been massaging regularly. Today, he said they were still too firm but never mentioned the words "capsular contracture." Without telling me what he was about to do, he proceeded to MASH THE HELL out of my breasts (sorry, but there's no other way to say it!) until we heard/felt the scar tissue "pop". I was WRITHING in pain, kicking my legs, squeezing the nurse's hand, begging him to stop. He did, but only after he heard that pop! So, basically, I think I had a closed capsulotomy today without it being discussed with me first! I am very upset now that I have read that this practice is no longer recommended and can be dangerous. Can you please tell me your personal opinion on closed capsulotomy, the chances of a rupture now that I have had this done and how I need to handle this situation with my dr. to assure that he doesn't do this again at my three month check up? Thanks very much for your time.

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07-31-2008, 03:36 PM	#2
Dr. Kearney Certified by the ABPS Join Date: Sep 2007 Location: La Jolla, California Posts: 329 Thanks: 1 Thanked 179 Times in 126 Posts	When the silcone scare happened closed capsulotomies stopped because of the fear of spreading around silicone into places it would not normally go. Today they are not does as commonly but I perform usually one or two a year after discussing the issues with the patient. Risk of implant rupture when you are six weeks out is virtually zero, it is only when the scar capsule gets calcified that the risk of rupture increases and then it should not be done. I am sorry he put you through it without discussing it with you but short of your immediate discomfort I don't believe there will be any long term consequences. I am not a believer in accolate - I don't use it as there is no data to support its benefit. Dr. Kearney