Overcome breast implant pain with a capsulectomy

A capsulectomy is a surgical treatment designed to remove the capsule of scar tissue that forms around breast implants. This capsule can become thick and hard, causing the implant to feel firm or distorted, and may cause pain or discomfort. Breast augmentation surgery can sometimes lead to capsular contracture, and a capsulectomy is often the only way to correct the problem.

What is a capsulectomy?

A capsulectomy is a surgical procedure that involves the removal of the capsule of scar tissue that forms around breast implants. This capsule can become thick and hard, causing the implant to feel firm or distorted, and may cause pain or discomfort. Capsular contracture is a common complication of breast augmentation surgery, and a capsulectomy is usually needed to address it. 

During a capsulectomy procedure, the surgeon will remove the implant and carefully dissect the capsule of scar tissue surrounding it. The capsule is then removed in its entirety, and the area is thoroughly cleaned and disinfected. If necessary, the surgeon may also remove any remaining breast tissue or lymph nodes to address cancer or infections in the area.

Capsulectomy is often performed alongside breast implant removal, as many patients choose to have their implants removed due to complications or aesthetic concerns. In some cases, a new implant may be placed after the capsulectomy to restore volume and shape to the breast.

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What are the different types of capsulectomy procedures?

  • Total capsulectomy: This approach removes both the implant and the capsule material, dissecting the superficial pocket surface and carefully extracting the entire capsule down to deeper levels.
  • Partial capsulectomy: A less invasive approach that removes only a portion of the capsule, allowing the body to absorb the rest.
  • En bloc capsulectomy: This method involves removing the entire capsule and implant simultaneously and is often recommended for patients with BIA-ALCL (breast implant-associated anaplastic large cell lymphoma) associated with textured implants.
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What are the benefits?

  • Improved mobility and comfort
  • Relief from implant-related complications
  • Removal of hardened scar tissue
  • Pain reduction
  • Replacement of damaged implants
  • Enhanced breast aesthetics
  • Peace of mind
  • Improved quality of life

Who is an ideal candidate for the procedure?

Candidates for capsulectomy are typically individuals experiencing complications related to breast implants, primarily capsular contracture. Ideal candidates include those who:

  • Have developed capsular contracture, causing discomfort and aesthetic concerns
  • Experience pain, hardness, or distortion of breast shape due to scar tissue around implants
  • Seek relief from implant-related complications
  • Require removal of hardened scar tissue
  • Consider replacing damaged implants
  • Desire to improve the overall aesthetic appearance of their breasts
  • Want to enhance their quality of life by addressing breast implant-related issues

A consultation with Dr. Shermak determines candidacy based on the severity of the condition and the level of discomfort. He assesses each patient's unique situation during a private consultation to determine their candidacy for capsulectomy.

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What does the procedure entail?

Capsulectomy is performed under IV sedation for patient comfort and relaxation. An incision is made along the inframammary fold, followed by the chosen Capsulectomy technique (partial, total, or en bloc). Dr. Shermak may also replace implants or use ADM (acellular dermal matrix) to reduce the risk of future capsular contracture. Incisions are closed, and drains may be placed for proper healing.

What is the recovery process like?

Recovery duration varies based on the capsulectomy technique and the use of new implants. Generally, patients need 4-6 weeks for full recovery. Post-surgery, swelling, bruising, tenderness, tingling, and temporary numbness are normal. Dr. Shermak provides detailed post-procedural guidelines and medication to manage discomfort. Gentle breast massages, back sleeping, and wearing sports bras are recommended for a smoother healing process.

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 Why choose Dr. Shermak?

Dr. Michele Shermak is a board-certified plastic surgeon in Maryland with extensive experience and a strong reputation in the field of cosmetic surgery. She's dedicated to providing the highest quality care and achieving the best possible outcomes for her patients. Her exceptional qualifications include board certification by the American Board of Plastic Surgery, indicating her commitment to maintaining the highest standards of patient care and safety. 

With years of experience, Dr. Shermak has honed her skills in various cosmetic procedures, including capsulectomy, and is known for her surgical precision. Beyond that, she prioritizes patient comfort and satisfaction, offering personalized treatment plans tailored to individual needs and goals. 

She utilizes state-of-the-art technology, ensuring safe and effective treatments, and has a track record of successful outcomes that demonstrate her dedication to enhancing patients' quality of life through cosmetic surgery.

Dr. Shermak and her team provide compassionate care, guiding patients through every step of their surgical journey. Choosing Dr. Shermak means entrusting your well-being to a skilled and caring professional dedicated to helping you achieve your desired results safely and effectively. 

Reach out to our office today to set up a private consultation and learn more about our capsulectomy procedures. 

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