"I had a BA in 2008 (saline, under muscle). I quickly developed cc in left breast and finally had a revision with new surgeon in 2014 (silicone implants under muscle) and capsulectomy. I took singular for a month after surgery. The cc just came back in left breast and surgeon prescribed me singular (been taking for 2 months). I want to get it redone, any way to reduce risk of cc? I also want to fix left nipple (has always been asymmetrical). Can it be moved down & center to match right nipple?"


DR. POUSTI: Recurrent Capsular Contracture and Uneven Nipples?

I am sorry to hear about the complications you have experienced. Capsular contraction can be a very frustrating complication for both patients and surgeons. Ultimately you will need to do your due diligence and feel comfortable that the plastic surgeon you choose has significant/demonstrable experience helping patients with this type of complicated revisionary breast surgery.

In my practice, I have found the most success treating these difficult problems utilizing techniques such as sub muscular pocket conversion (if relevant), capsulectomy, use of fresh implants (I am not convinced that there is a difference with smooth versus textured implants as long as the breast implants are in the sub muscular position), and the use of acellular dermal matrix. Acellular dermal matrix is a biologic implant that carries the ability to become integrated into native tissue. It is made by taking a full thickness section of skin from a donor source (his human, porcine, or bovine in origin). Adjustment of the breast implant capsules and/or movement of the nipple/areola complexes may be necessary to improve overall breast and nipple/areola complex symmetry.

I hope this, and the attached link and video (demonstrating a case utilizing acellular dermal matrix) helps.

Best wishes for an outcome that you will be pleased with.

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