American Society of Plastic Surgeons
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Pamela
4 years ago
Answered

CC

My 35 y o daughter had breast augmentation about 6 months ago. Within several months she developed a CC in the left breast . Her surgeon is recommending surgery for both the effected breast and the contralateral breast which is uneffected. Does this make sense?

Also if the etiology of the CC is unclear what is the chance that it will recur after corrective surgery?

Procedure: Breast Augmentation
Location: 2875 Gulf Shore Boulevard North Unit 506C Naples, FL

Replies 3

Jacob Gerzenshtein
ASPS Surgeon

1. Unless there is a specific problem with the unaffected breast there is no reason to touch it.

2. Both sientra and allergan have 2 year warranties that cover capsular contracture surgery in addition to providing implant replacements.

3. There is no definitive answer as to what causes capsular contracture. It is a fibrous reaction. It can be a result of left over blood, clinical or subclinical infection, the use of smooth vs. Textured implants, the selection of the pocket, the use of antibiotic solution or betadine to wash out the pocket. Yes the problem may recur even if all the factors I just mentioned are optimized.

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Edward Domanskis

No it does not make sense. Also, your daughter can get part of surgery paid for and new implant depoending on the manufacturer.

Dr. Edward Jonas Domanskis is Certified by the American Board of Plastic Surgery

Newport Beach, San Francisco,Miami, EU, Anguilla

Assistant Clinical Professor of SurgeryWOS-Plastic,University of California (Irvine)

Orange County’s Physician of Excellence/America’s Top Physicians/Top Doctors

Plastic Surgery- 2005-2018

President,American Society of Bariatric Plastic Surgeons

Organoderm Skin care/ScaRxTape

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Nelson Castillo

Thank you for sharing your question on behalf of your daughter. In general only the affected breast need be revised, and there are a myriad of steps that can be taken to lower the risk of recurrent capsular contracture.

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