The best way to counsel you is in the context of physical examination, measurements and assessment in person.

That being said, your Gr III capsule may be able to be treated with non-operative therapy. Using Aspen technology, I send my patients to Full Circle Solutions to obtain 10 painless ultrasound sessions to soften your implants. If your surgeon thinks the implants are ruptured, you should probably have them surgically removed.

But if the implants are intact, I think non-operative therapy with Full Circle solutions has about a 90 percent chance of softening your implants substantially. It has been shown to relax your implant tethering and soften your capsule.

If your surgeon advises you to remove your implants, I am more in favor of sub-muscular replacement position. Your physical examination is key in our decision making, so I can’t conclude that for you in this writing without examining you.

If you decide replace your implants, you would be a marvelous candidate for post-capsulectomy antibiotic protocol with Aspen technology. Full Circle Solutions provides you timed ultrasound treatments that start two weeks after your capsulectomy procedure. Antibiotics are given orally one hour prior to the proprietary ultrasound treatment. This instills the antibiotic into the newly- forming capsule to help prevent bio-film formation.

Before you determine your course of surgical action, I would be happy to assist you in your surgical and post-surgical decision making and options.

Based upon the information you provided, I think you should contact the Full Circle Solutions company to help you reduce your recurrence of another capsular contracture. My office coordinator can facilitate connecting you to them as well as my practice! Good luck!

Published on Jul 11, 2012

No. Putting an implant over the muscle has higher risk of capsular contracture. Please make sure your surgeon is a board-certified plastic surgeon. Implants need to stay under the muscle, especially if you are thin. The choice of implants is also important.

There are implants that are designed to minimize capsular contracture. You need to know all of your options through your plastic surgeon. Some implants also come with "capsular contracture warranty".

Published on Jul 11, 2012

Thank you for your question.

I generally recommend under the muscle placement for patients.. but every patient differs with exactly what procedure will be best for them. Online consultants will not be able to give you accurate advice without more information (examination, seeing photos, knowing your history).
Make sure your surgeon has experience with revision breast surgery.
Best Wishes!

Tom Pousti MD
www.PoustiPlasticSurgery.com
619-466-8851

Published on Jul 11, 2012