What is Breast Capsulectomy?
Breast augmentation cosmetic surgery procedure has a very high success rate. However, sometimes a capsule formation may occur around the implants, which can thicken and squeeze the implants, resulting in distortion of breast appearance. This condition poses the risk of damage to the implants. The corrective procedure to address this problem is called breast capsulectomy. It may be performed on one or both breasts.
Breast capsulectomy should be performed by an experienced surgeon to achieve safe and desirable results. The procedure is performed as an open surgery, which means the surgeon will cut through the scar tissue to remove the breast implant. Dr. Paul Fortes is a leading plastic surgeon providing breast capsulectomy and other procedures. Dr. Fortes receives patients from Houston, Katy, TX, and surrounding areas.
Candidates for this Surgery
Women who have developed capsular contracture will need to undergo this plastic surgery. Capsular contracture will tend to tighten the implants, causing discomfort, and may cause the breast implants to lose their shape. The capsule formation is a normal bodily response, but the problem occurs when it thickens over time due to any reason.
Breast capsulectomy procedure may be performed by a breast cosmetic surgeon with past experience and training in this surgery. Two primary types of procedures are: total capsulectomy and sub-total capsulectomy. The first type involves the removal of the entire capsule, including a replacement of the breast implant with a new one. In the sub-total procedure, only a part of the capsule is removed, provided the implant has remained intact and not moved from its position.
The goal is to remove the problem-causing portion of the capsule or the entire capsule and insert a new implant that will sustain properly. Several options are available to the surgeon with regard to the type of incision and the positioning of the implant. These decisions will be made in accordance with the patient’s breast anatomy and personal aesthetic choices.
The surgeon will cut through the scar tissue of the capsule, which relaxes the area allowing for capsule removal. Thereafter, an incision will be placed in the breast crease, the armpit or around the areola. The new implant will be inserted and position through the incision. Finally, the surgeon will close the incisions with fine sutures, and place a light dressing over them.
The complete procedure can be performed in about two to three hours, and is typically performed under general anesthesia. In most cases, the patient may have to stay overnight at the surgical facility, but sometimes it may be performed as an outpatient procedure. The procedure is considered more complex than a breast augmentation surgery. Dr. Fortes provides this surgery to patients in Houston, Katy, TX, and other areas.
Dressings over the incisions will remain in place for about two weeks. The patient will be required to wear a special bra to hold the dressing in place and expedite recovery. Most patients can return to their normal activities or go to work after two or three days following the surgery. However, strenuous activities or exercises should be avoided for about 10 days.