What is Capsular Contracture?
After going through breast augmentation surgery, it is very distressing to find that one or both implants are becoming hard, poorly positioned, unsightly and painful. This is a condition called capsular contracture, a condition that affects over 25% of all breast implant patients. This condition occurs when scar tissue that naturally surrounds an implant becomes thick and hard, distorting the implant. To help give patients relief, Dr. Joshua Lampert performs among the best capsular contracture treatment Miami has available.
The Baker Scale: Capsular Contracture Severity
There are four grades of capsular contracture measured on the Baker Scale.
- Level 1 – breast is soft and the capsule is flexible, no distortion
- Level 2 – breast is firm to the touch, no distortion visible
- Level 3 – breast is hard, with visible distortion
- Level 4 – breast is very hard and painful with visible distortion
Breast distortion can appear round or tubular, causing the nipples to tilt up, down or to the side.
Before & Afters
All plastic surgeons should be judged on the aesthetic merits of their work. Review Dr. Lampert’s before and after gallery to see what he has accomplished.
Capsular Contracture Treatment: Consult a Miami Breast Specialist
There has been some success getting the capsule to relax using certain drugs. Dr. Lampert may prescribe one of these medications before scheduling revision surgery. If there is no success with medication, or if the condition is too severe, there is no other option than revision capsulectomy. In most cases, removal of the capsule will adequately prevent future complications.
Once the implant and capsule are removed, a pocket is often created under the pectoral muscle and a new implant is inserted. Extra caution is taken to ensure complete sterility during the insertion process.
During this procedure, Dr. Lampert may use a mesh or acellular dermal matrix (ADM) to create an internal support structure. This will help secure the implant in the new location and may also prevent the overgrowth of the new capsule. Placing the implant under the pectoral muscle is thought to reduce the probability or slow down the formation of another thick capsule in the future.
Causes of Capsular Contracture
It is not definitively understood why 25% of women develop this condition or why one breast is sometimes involved while the other breast is unaffected. The cause is understood to be an inflammatory response within the capsule.
It is thought that a very small amount bacteria entering the surgical site might cause inflammation which then causes the capsule to respond by growing thicker. The bacteria create a thin layer or “biofilm” that leads to chronic inflammation and thick scarring. Trauma, blood around the implant, or remnants of silicone gel from a prior implant rupture can cause chronic inflammation as well. Additionally, the biology of some patients simply reacts worse to the placement of an implant than other patients.
For patients interested in receiving the best capsular contracture treatment Miami has available, the next step is a private consultation with Dr. Lampert. He enjoys helping patients who need specialized solutions to problems that may cause depression and low self esteem. He is dedicated to beautiful and long lasting results that both he and his patients can be proud of.