Treatment Options for Capsular Contracture
Treating capsular contracture begins with a thorough evaluation of your symptoms, implant history, imaging when needed, and physical findings. At DrSkin, we assess the capsule, its impact on the implant, and potential contributing factors. Your plan for capsular contracture treatment is then carefully tailored to address both the scar tissue and the implant.
Non-Surgical Management
In early or mild cases, non-surgical management may help reduce inflammation and slow progression. This can include prescription medications that target inflammatory pathways, ultrasound therapy to soften scar tissue, or careful monitoring to assess changes over time. The goal is to decrease the biological signals that cause the capsule to tighten. While non-surgical options do not remove scar tissue, they may help manage early capsular contracture.
Capsulotomy
A capsulotomy involves surgically releasing the tight scar tissue surrounding the implant without fully removing the capsule. During the procedure, precise incisions are made in the scar tissue to relieve pressure and allow the implant to settle into a more natural position. By disrupting the constricting fibers, the breast can regain softness. This approach is typically considered when the capsule is thickened but not severely calcified or extensively distorted.
Total Capsulectomy
A total capsulectomy removes the entire scar capsule that has formed around the implant. This eliminates the tight tissue compressing the implant and contributing to firmness or distortion. After removing the capsule, the implant may be replaced or repositioned, depending on your goals. By excising the scar tissue, this procedure reduces the mechanical forces causing tightness and provides a fresh surgical environment for more stable, long-term results.
En Bloc Capsulectomy
An en bloc capsulectomy removes the implant and the surrounding scar capsule as a single, intact piece. This technique keeps the capsule sealed around the implant during removal, which may be appropriate in select cases involving significant inflammation or implant concerns. By extracting everything at once, the body can heal without residual scar tissue. Not every patient requires this approach, but it can be beneficial when a comprehensive reset is needed.
Implant Replacement (If Needed)
Implant replacement may be recommended when the existing implant contributes to recurrent scar formation or distortion. During surgery, the implant can be exchanged for a different size, shape, or material better suited to your anatomy and tissue response. This adjustment helps reduce mechanical stress on the surrounding tissue. Implant replacement is often combined with capsule treatment to improve comfort and lower the risk of future contracture.
