Breast augmentation is a personal choice that you may make because of a desire for larger, more symmetrical breasts. Implants can even be used as part of breast reconstruction after mastectomy, or to correct congenital deformities or abnormalities.
In Dr. Steele’s experience, women with implants will require some kind of revisionary surgery 10-20 years after implant placement, but in some situations, this must be considered earlier. A case of capsular contracture may necessitate excision of the scar capsule and removal/replacement of the breast implant. Dr. Matthew H. Steele offers capsular contracture treatment in Parker County when the cosmetic appearance, asymmetry, or discomfort requires action.
Every breast implant will develop a breast capsule which stabilizes the breast implant position on the chest wall. In some cases, the scar tissue that forms the capsule can become smaller or thicker, resulting in capsule contracture. This causes the breast to feel firm and painful, and sometimes appear misshapen. While capsule formation is normal and expected, a capsular contracture occurs when the scar tightens excessively.
The exact cause is not fully understood but symptoms are well documented, ranging from mild firmness to severe pain. Your treatment options vary based on the severity of the condition, with the goal of releasing the scar tissue and reducing the discomfort.
Initially, if there is very little pain or discomfort, we may attempt non-surgical options to soften the scar tissue and improve the mobility of the implant, like regular massage and compression techniques you can do at home. Anti-inflammatory medications may help reduce inflammation and slow scar tissue formation. Regular self-massages after surgery may help reduce the risk of capsular contracture and keep the capsule flexible.
If a patient in Parker County requires surgery to treat the capsular contracture, Dr. Steele will choose between a capsulectomy and a capsulotomy, depending on certain factors. During a capsulectomy, the scar tissue of the capsule is removed, and the implant may be removed or replaced. A capsulotomy releases the tension in the capsule and allows the implant to move freely, and is often combined with implant replacement. An incision is typically made in the breast to release the scar tissue.
During surgical treatment for capsular contracture, women can choose to replace the implant with a larger or smaller size, or remove the implants entirely. If an implant is not replaced, you may need a breast lift to remove excess skin and underlying tissue that accommodates your larger breast size.
Adjunctive treatments may include autologous fat grafting in which fat from another area of the body is injected around the implants to provide a cushion and reduce the recurrence of capsular contracture. Acellular dermal matrix is a biological mesh that may also be placed around the implant to help reduce scar tissue and thus reduce the risk of capsular contracture, but is often cost-prohibitive. There is some evidence that capsule contracture may decrease in the presence of resorbable mesh, however more research is needed.
After capsular contracture treatment, women in Parker County go through several stages of recovery. In the immediate postoperative period, you will stay in the recovery room of our accredited outpatient surgery center for a few hours before going home.
It is common to experience some mild discomfort, swelling, and bruising at the surgical site but this can be managed with prescribed medications. You will be unable to drive yourself home so you must have a trusted friend or family member who can accompany you for the first 24 to 48 hours.
In the first few weeks, you must avoid strenuous activity, including cardio and heavy lifting. It is crucial to keep the incisions clean and dry, and follow the surgeon’s instructions on dressing changes or restrictions.
Within the first few weeks, you will have several follow-up appointments where Dr. Steele will monitor your healing and remove your drains. You will gradually resume light activities, but you must avoid heavy lifting or vigorous exercise for at least six weeks. Swelling will persist for up to 3 months and you may notice some settling or “fluffing” of your new implants.
Capsular contracture can be uncomfortable or painful, and may cause the breast to be misshapen. We encourage you to call our office today and schedule a consultation with our Board-certified plastic surgeon Dr. Steele to learn more about capsular contracture treatment in Parker County. Your comfort is the most important thing to us.
