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What is Capsular Contracture?

Scar tissue forms around any implant and is a normal part of the healing process. Because the body attempts to isolate foreign objects, it creates a barrier of scar tissue around it. For breast implants, this capsule of scar tissue keeps the implants in place while preventing slippage. Capsular contracture occurs when this capsule of scar tissue becomes unusually hard and contracts around the implant.

Grades of Capsular Contracture Severity

The severity of capsular contracture is categorized into one of the following four grades:

  • Grade 1: Asymptomatic and does not interfere with the breasts' size, shape, or texture; the breasts look natural and are soft to the touch.
  • Grade 2: Minor cosmetic symptoms; regular in shape but feel somewhat firm.
  • Grade 3: Obvious cosmetic symptoms; the breasts are firm to the touch and appear overly round, and the nipples may be misshapen.
  • Grade 4: Hard and misshapen breasts; patients with grade four capsular contracture also experience soreness, and their breasts are tender and painful to the touch.

Ruptured implants are the most common cause of late-onset capsular contraction. Other causes of capsular contracture include the following:

  • Genetic predisposition
  • Poor immune system response
  • Hematomas
  • Seromas
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How is Capsular Contracture Treated?

The best way to treat capsular contracture is with breast revision surgery called a capsulectomy.

During his capsular contracture treatment in Houston, Dr. Vitenas makes an incision in the fold beneath the breast removing the capsule and the implant from the surrounding breast tissue. He then places a new breast implant before closing the incision. In patients that have recurrence of their capsular contracture or in patients who want the best chance of not having a recurrent capsular contracture a second step is taken.

Dr. Vitenas takes the procedure further by using an ADM (Acellular Dermal Matrix) to cover the new implant in an internal bra which shields the breast implant from the surrounding breast tissue. This effect reduces the chance for recurrent capsular contracture to about 1-2%, which is significantly better than performing a capsulectomy on its own.

Am I a Candidate for Capsular Contracture Treatment?

Ideal candidates for breast implant revision to treat capsular contracture will:

  • Be in good general health
  • Want to change their breast implants and have realistic expectations for the results
  • Be a nonsmoker or be willing to quit before surgery, as smoking increases the risk of capsular contracture
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Capsular Contracture Treatment Recovery and Results

Recovery following your capsular contracture surgery in Houston with Dr. Vitenas can take up to two weeks. You can expect mild pain immediately after the procedure, and you will wear a surgical bandage for the first several days to help minimize swelling.

Mild bruising can be seen after capsular contracture surgery but dissipates in 10 to 14 days. Avoid heavy lifting and strenuous exercise for four to six weeks, and follow all aftercare instructions carefully. Dr. Vitenas will monitor your progress, and you will have follow-up appointments with him to ensure proper healing.

The final results from breast implant revision will be visible six weeks post-op when the swelling has reduced, and the implants will have settled into place. It may take 6 to 12 months before the implants fully settle and for the breasts to feel soft and “normal” again.

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Why choose Dr. Vitenas for Capsular Contracture Treatment in Houston?

Finding the right surgeon to perform your capsular contracture surgery makes all the difference in treating capsular contracture. Working with a highly-recommended plastic surgeon specializing in breast procedures and with ample experience in performing revision surgery ensures the best results.

Dr. Vitenas is a board-certified plastic surgeon with over 30 years of experience who has performed over ten thousand breast surgeries. He is one of the most sought-after plastic surgeons in Texas and has frequently been named a top doctor among the top 10 plastic surgeons in Texas.

To learn more about breast implant revision to treat capsular contracture or to schedule a consultation with Dr. Vitenas, call (281) 607-5842.

SuperDoctors Texas 2022 Logo Castle Connolly Top Doctor 2020 - Paul Vitenas, MD FACS Logo Certified by The American Board of Plastic Surgery Inc. RealSelf Top Doctor - Breast Augmentation

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