Capsular Contracture Treatment & Removal
We are the only provider in the New Jersey region trained & licensed to use the Aspen Ultrasound System for non-surgical capsular contracture treatment.
What is Capsular Contracture?
After breast augmentation surgery, the body naturally forms a lining or “capsule” around the breast implant, which the body correctly identifies as a foreign substance. A small percentage of augmentation patients develop capsular contracture, in which this naturally-occurring lining unexpectedly hardens, creates pain, causes breast firmness, and distorts the shape and position of the breast implant. No single cause has been identified for the development of capsular contracture, but it can be treated.
Traditionally, plastic surgeons have treated capsular contracture by surgically removing the breast implant and surrounding capsule. At The Parker Center, we offer non-surgical capsular contracture treatment as well as surgical options.
Nonsurgical Capsular Contracture Treatment with the Aspen Ultrasound System
If you are suffering from mild to moderate capsular contracture, you may not need surgery to correct the problem. At The Parker Center, we offer the Aspen Ultrasound System Treatment, a non-invasive treatment for this unpleasant condition. We are the only provider in the area trained and licensed to use this technique, which Dr. Parker has found to be an excellent non-surgical approach to resolving capsular contracture. The system has improved the condition in most of our patients who have undergone the treatment.
What is the Aspen Ultrasound System Treatment?
The Aspen Ultrasound System uses sound wave therapy (ultrasound) in combination with targeted massage to soften the scar tissue in the capsule, which helps to restore a more natural looking and feeling breast and alleviates the tight or painful feeling that often accompanies capsular contracture.
The Aspen Ultrasound System offers many benefits:
- It has none of the risks of surgery.
- It is far less expensive than surgery.
- It has no lengthy recovery time as does surgery.
- It is painless.
Developed by a physical therapist, the Aspen treatment differs from the normal diagnostic use of ultrasound, as it features a specialized paddle device that provides for more effective penetration of ultrasound energy. If a revision surgery should eventually be necessary, the Aspen Ultrasound System can serve as post-surgical therapy to reduce the recurrence of capsular contracture.
Surgical capsular contracture removal is often best for more progressive cases
If we catch it early, non-surgical treatment is usually successful in correcting capsular contracture and preventing it from reoccurring. However, in more developed or severe cases, or if a patient has not responded well to the non-surgical Aspen treatment, surgery will be the most effective option. Dr. Parker is highly experienced in breast implant revision procedures, and will tailor the procedure to fully treat the problem while also achieving the most aesthetically pleasing outcome possible.
- Capsulectomy with breast implant replacement
- Capsulectomy & breast implant replacement using ADM
- Explantation & capsulectomy
Breast implant removal & capsulectomy with placement of new implants
During this procedure, Dr. Parker will surgically remove the old implants and the surrounding capsule, and then place new breast implants during the same surgery. He will also address any other concerns and make improvements as necessary, such as:
- Adjusting the breast pocket to improve implant position
- Switching from saline to silicone
- Changing from over-the-muscle to under-the-muscle or dual plane implant placement
- Changing implant size to better fit your personal preferences and proportions
Before & After: Breast Implant Revision for Capsular Contracture*
This patient requested removal and replacement of breast implants inserted 15 years ago. The right implant had deflated and the left implant had hardened. During her consultation with Dr. Parker, the patient indicated she would like to replace her saline implants with larger silicone implants, and would like more cleavage and less fullness in the outer aspect of her breasts. Dr. Parker removed the implants and also performed a capsulectomy on the left side to remove the implant and hardened capsule around it. He expanded the implant pockets medially to give more cleavage, inserted sutures in the outer aspect of the pockets to centralize the implants, and inserted 375 cc silicone implants. The patient is very happy with her improved, softer breasts and loves her cleavage as well.
Treating capsular contracture with Acellular Dermal Matrix (ADM)
One particularly exciting advancement in capsular contracture treatment in recent years is the use of acellular dermal matrix, or ADM, in breast augmentation revision. ADM is a strong, sterile, biocompatible sheet of material that Dr. Parker can place around the new breast implant to reinforce the surrounding breast tissue. Incorporating ADM into breast revision surgery not only helps to support the breast implant, but has also been shown to significantly reduce the risk of capsular contracture happening again.
ADM acts as a “sling” to help support and provide more coverage to the breast implant as well as reducing risk for capsular contracture.
Dr. Parker finds ADM particularly useful for the following patients:
- those who develop bilateral capsular contracture
- those who have had prior capsulectomy and implant replacement with recurrent capsular contracture
- those with very thin breast tissue
- those with implant malposition in need of additional support when repositioning the implant into its proper location
Before & After: Capsular Contracture Treatment Using ADM*
This patient had breast augmentation 2 years earlier with another plastic surgeon. One year later, she developed capsular contracture on the right breast, which the same surgeon treated with capsulectomy and implant replacement. In recent months, the right breast had again become hard and very painful. Dr. Parker explained that since she had already failed her first treatment of capsular contracture, he would need to again perform a capsulectomy and insert a new implant as well as acellular dermal matrix (ADM) to reduce the chance of recurrent capsular contracture. The patient is very happy with the appearance and feel of her natural looking, soft breasts.
Explantation: breast implant removal & capsulectomy only
Sometimes, a patient will develop capsular contracture and decide she no longer wants her breast implants at all. In this case, Dr. Parker can perform explantation, or breast implant removal surgery. In addition to removing the old breast implants and surrounding capsule, he can also perform a breast lift to address any sagging that may result from the implant removal process. Learn more about breast implant removal (explantation) in New Jersey at The Parker Center »
Before & After: Breast Implant Removal (Explantation)*
This patient had developed capsular contracture after having her breast implants for 4 years. Dr. Parker performed complete capsulectomies, removing or “explanting” both implants. The patient is very happy with her results, and did not need a breast lift given the size of her implants and favorable anatomy.
If you suspect you are suffering from capsular contracture, it’s important to consult with an experienced, board certified plastic surgeon to discuss your options to correct the issue. You deserve to have breasts that you love and be free from pain and discomfort. We invite you to contact us for a free personal consultation with Dr. Parker. Call 201-967-1212 or contact us using the form below.