by Terrye Tebbetts
Capsular contracture or hardening of the lining around an implant is the second biggest reason for reoperation (size exchange is the first). Dr. Tebbetts believes that capsular contracture formation is related to 4 basic variables:
1. 10% Genetics – how the patient heals
2. 10% Device rate
3. 20% Bacteria in the breasts (Biofilm)
4. 60% How the first surgery is done – Degree of trauma and bleeding during the primary procedure.
In other words, your very best defense against capsular contracture is to never get it to begin with and that means chosing one of the best breast implant surgeons that will not create the blood and trauma in the first place.
Once you have it – it is so hard to deal with both clinically and emtionally. Here’s a real life stuggle with reconciling reality and wishes and tissues – the mystery and misery of capsular contracture around a breast implant and what to do – listen to the patient’s reasoning and listen to my advice……
I just read your post on implant info.com from 8/7/2011 where you refer a woman to the article you and your husband wrote about the mystery and misery of CC. It is a great article and with all of the lack of information about CC out there it was very helpful.
I have a question about these lines which read:
“If you develop a second capsule, I will recommend that you remove your implants and not replace them. I can’t force you to do this, but your body is giving us a message—you are a capsule former.”
This is pertinent information for me as I have capsular contracture for the second time in my left breast and when I read that what I want to understand is am I a capsule former even if I only have CC in one breast? Doesn’t it more mean that the pocket in that breast has issues or bacteria got on that implant I guess twice? I would want to believe what you guys wrote if both breasts developed CC. does that make sense. I am trying to keep these implants and make them work for me. My ptosis after two kids was a crazy eye sore and I like having boobs. I am with implants a 34 between b and c. I am 5′ 2″ and 115 pounds.
I am trying to figure out what to do and I so appreciate that you two recommend removing the implants because believe me that is not what the three doctors I have seen have said. One said leave it alone. One said I had two more complications I had never even heard of and the other is saying fix it.
If you could get back to me as I am trying to figure out what to do. My cc is a baker 3 and when in a tight shirt or a swim suit (summer and recent attire) the left breast feels and looks a different shape but to be honest I might be the only one who really notices. I am a photographer and have a high attention to detail. I would be happy to send you photos for you to let me know what you would do. My first surgery was in 2006, CC in left breast came about within 6 months (I think it was milder then and I should have just left it alone) and I reoperated in 2007 (PS did not take out implant he just cut out capsule around implant) and now in 2011 same left breast with CC.
Thank you for taking the time to contact us. I am glad the article shed some light on a very confusing topic for most patients to understand.
Most people only form a thickened capsule or capsular contracture on one side – rarely is it both.
If a capsule is mild, you are right – you are better to leave it alone. Now you have been in that breast two times and are thinking of three, yet, in your own words you tell me, ” to be honest I might be the only one who really notices.”
Unless the capsule is interfering with your self exams and mammograms, or it inhibits all clothing options, given that you have formed it twice already, I would leave it alone.
There is just no easy answer to the CC delimma – but if I were you, I would avoid another breast augmentation operation until I absolutely had to do something and then given your history, I would probably say, just remove them and not replace them. I know that’s not the popular thing to say, but I truly believe it is in your best interest long term.
And I sincerely appreciate your note and taking the time to explain your situation to me. I am sorry you are having to deal with this, but if you can stop being your own worst critic, maybe you can let it ride for a bit longer….I hope so.
Ah, but there is more……I will post her rebuttal tomorrow – when pitbulls get ahold of something, they just can’t let it go!
About the Author: Terrye Tebbetts is one of the most knowledgeable women in the world about breast implants, with 27 years of experience educating patients and 11 years as a patient herself. For more information about breast implants or breast augmentation Dallas surgeons, please visit www.thebestbreast.com.