American Society of Plastic Surgeons
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Sally Strong
5 years ago


I has breast implants back in 2008 and I have developed a grade 2-3 contracture on the lift. What is the best solution to this and how much will it cost me.

Procedure: Breast Augmentation
Location: Belmont, CA

Replies 7

Nelson Castillo

Thank you for sharing your question. There are a number of ways to address your contracture and various options include capsulectomies, implant exchange, position change of the implant below your chest muscle, use of a skin substitute, etc. As an in-person examination is required to offer you the best advice on treatment and cost I would see a series of plastic surgeons in consultation. Best wishes

Jon Ver Halen

Dear Sally,

Hello and thank you for your excellent question. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!

Susan Buenaventura
ASPS Surgeon
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If the contracture is causing deformity or discomfort, it makes sense to treat it. This would involve surgery to remove the implant, remove the capsule (scar tissue) partially or completely, and replace the implant. If it is above the muscle, consider putting it below the muscle. Cost will depend on they type of implant you are replacing, your surgeon and area where you live. In our area, cost for one side would be around $4000. Implant companies are now starting to include coverage for capsular contracture in their warranties. Make sure you ask about this when consulting. Best wishes to you.

Trent Douglas
ASPS Surgeon
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Thank you for your question and doing your homework with ASPS member surgeons. Capsular contracture is an issue that may affect women years after their original breast augmentation surgery. It is always best to have an in-person consultation with a board-certified plastic surgeon in your area. Together you can partner with your surgeon to develop a treatment plan that is best suited to your individual goals, budget, and timeline. The cost of the procedure will vary geographically around the country and from surgeon to surgeon depending on the amount of work to be done as well as if you are replacing the implants or leaving them out permanently. Best wishes on a great result and speedy recovery!

Aaron Stone
ASPS Surgeon

The best solution for high grade contractures is capsulectomy and implant exchange. In some cases total capsulectomy is not feasible. Given the age of your implants you should consider replacing the one on the right as well. The cost will depend on the implants you choose, the surgeon who performs the procedure and the time required to carry out the surgery. In most cases that would be under $15,000 total. There should also be a plan after surgery for care to decrease recurrence, like LPG.

Edward Domanskis

I am a little confused. Did you get the contracture after the enlargement with implants or after an uplift? What type of implants do you have.Now, several of the manufacturers are paying for this surgery to relieve the contracture. There is really no berst way to guaranttee that it would not happen again. I usually would make a brand new space and not remove the capsule for this would add to scar tissur formation and possibly change the implants. The cost would vary depending on what was done but would be somewhere between $5000-7000. Dr. Edward Domanskis is Certified by American Board of Plastic Surgery

Ass. Clinical Professor of Surgery(Plastic)WOS, University of California(Irvine)

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Orna Fisher
ASPS Surgeon
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Hello Sally,

There is a significant difference between grade 2 and grade 3 capsular contractures, so the options provided to you would differ depending on which one you actually have. First time versus recurrent also changes things, as does age of implants, and what is going on with the other side. If you have a grade 3 capsular contracture, there are multiple options for surgical intervention varying from simple and short to more complex and longer. This means the potential for a vast cost range. Being that your implants are 10 years old, both sides would require surgery, although techniques may differ from side to side.

You would require an in-person evaluation to determine what your options and anticipated costs would be.


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