CC Revision advice

[salsaeminem]

Hello Dr. Wallach,

I was hoping you may be able to offer some advice to me?

My history - BA, smooth, saline unders, 350cc (C cup) September 2006. Developed CC right away in left breast. I was put on Singulair and told to massage. 3 months later no change, 3 months after that (April 07) I had a capsulectomy (removed implant, replaced with new) CC came straight back - I knew by day 5 basically.

This time it's not quite as bad as it moves about but basically like a ball shape, is very firm to touch (ie I can't squueze my fingers together like I can with my other very soft breast. It also looks distorted, especally from the side.

I've been to see a couple of other plastic surgeon's since this happened and one of them suggested just doing the same thing again (as there is no point messing around with the good one) and hoping/praying for a good outcome. The other plastic surgeon suggested textured silicone (which would mean redoing both)

Both of them told me that Accolate is not recommended because of it's very toxic effects on the liver - I have to agree with that on what I've read..

I'm going back to see my original plastic surgeon in december sometime to see what my options are. Coudl you tell me what you would recommend for a second CC revision surgery? I don't know what to do this time, but I can't live with it like this. This has been one long, upsetting ride and I'm hoping the next time I have surgery, it will be a great result and I won't have to do this again for a long time.

I'm based in Redondo Beach, California.

I look forward to your reply, thanks so much!

[sgwallachmd]

It is difficult to know why the CC comes back more often in some patients than others. Sometimes changes in pocket location helps( moving above pec to below pec), sometimes change in style of implant ( smooth to textured) can help. Some surgeons feel triple antibiotic irrigation helps minimize CC when performing exchange. It is best to remove the enitre old capsule if possible( sometimes it is impossible).. It really is a case by case evaluation. Stick with your surgeon to work it out. Good Luck