Introduction
Breast implant capsular contracture is a common yet challenging complication that can occur after breast augmentation or reconstruction. This condition, where the natural scar tissue around the breast implant thickens and tightens, can lead to pain, breast asymmetry, and aesthetic concerns. In Albany, there are several top - notch medical facilities and surgeons equipped to handle this issue. This article aims to present the top 10 hospitals (represented through the outstanding doctors) in Albany for breast implant capsular contracture treatment, and also provide in - depth information about capsular contracture, its causes, treatment options, and recovery process.
Understanding Breast Implant Capsular Contracture
What is Capsular Contracture?
Capsular contracture is a complication that arises when the natural scar tissue (capsule) surrounding a breast implant thickens, tightens, and compresses the implant. A thin capsule forms around all breast implants as part of the body's healing process. However, in the case of capsular contracture, this capsule becomes abnormally stiff. This can lead to pain, restricted movement, and breast deformities, such as a “high - riding” implant.
Grades of Capsular Contracture
Capsular contracture is classified into four grades using the Baker's scale:
- Grade I: The implant is soft, with no noticeable symptoms.
- Grade II: Slight firmness without visible deformity.
- Grade III: Firmness with visible deformity but no pain.
- Grade IV: Firmness with pain and visible deformity.
Causes of Capsular Contracture
The exact cause of capsular contracture is not fully understood. However, it is believed to result from immune responses, bacterial contamination, or surgical factors. Risk factors include a history of radiation treatment, surgical complications such as bleeding, and bacterial contamination of the implant pocket.
Top 10 Doctors for Breast Implant Capsular Contracture in Albany
Here are some of the top doctors in Albany who treat breast implant capsular contracture. These doctors have high patient ratings, indicating their expertise and the quality of care they provide.
| Doctor's Name | Rating | Location |
|---|---|---|
| Dr. Susan Gannon, MD | 4.50 out of 5 stars | 455 Patroon Creek Blvd Ste 101, Albany, NY 12206 |
| Dr. Gabriel Kaufman, MD | 4.70 out of 5 stars | 317 S Manning Blvd Ste C364, Albany, NY 12208 |
| Dr. Sarah Pesek, MD | 4.10 out of 5 stars | 317 S Manning Blvd Ste C364, Albany, NY 12208 |
| Dr. Kelly Dennin, MD | 3.90 out of 5 stars | 250 Delaware Ave Ste 207, Delmar, NY 12054 |
| Dr. Jessica Czajka, MD | Not specified | 25 Hackett Blvd, Albany, NY 12208 |
| Dr. Barbara Brazis, DO | 4.40 out of 5 stars | 250 Delaware Ave Ste 207, Delmar, NY 12054 |
| Dr. Christa Abraham, MD | 4.80 out of 5 stars | 43 New Scotland Ave, Albany, NY 12208 |
| Dr. Lynn Choi, MD | 5.00 out of 5 stars | 25 Hackett Blvd, Albany, NY 12208 |
| Dr. Malcolm Roth, MD | 4.50 out of 5 stars | 43 New Scotland Ave, Albany, NY 12208 |
| Dr. Casian Monaco, MD | 5.00 out of 5 stars | 50 New Scotland Ave, Albany, NY 12208 |
Spotlight on Key Doctors and Their Treatment Approaches
Dr. Gabriel Kaufman
Dr. Kaufman is a leading expert in breast implant revision, with over a decade of experience treating breast implant complications. As a dual - board - certified breast and plastic surgeon, he understands the physical and emotional toll capsular contracture can take. His “back to breast beautiful” approach combines precise surgical techniques with advanced non - surgical options when appropriate. His patient - first philosophy ensures individualized treatment plans tailored to each person’s unique needs and goals.
Treatment Procedures
- Surgical Approach: Dr. Kaufman typically performs a capsulectomy, which involves the removal of the hardened capsule and, often, the replacement or repositioning of the implants. The procedure is performed under general anesthesia. The thickened capsule is carefully excised, and the implant pocket is thoroughly cleansed with antibiotic and antiseptic solutions to minimize the risk of recurrence. Implants are often moved to a new location, such as from beneath the muscle (submuscular) to above it (subglandular), to improve aesthetics and comfort and reduce animation deformity.
- Non - surgical Options: His treatment plan may also include non - surgical solutions such as ultrasound energy therapy, steroid injections, and targeted anti - inflammatory medications, although these have varying degrees of success.
Dr. Lucie Capek
Dr. Capek is well - experienced in breast implant removal and revision procedures. She understands that the choice of procedure depends on the patient's specific problem and aesthetic goals.
Treatment Procedures
- Capsulectomy: For patients with capsular contracture, Dr. Capek performs a capsulectomy to remove the scar tissue. This also creates a fresh pocket for a new implant. Sometimes this includes switching from a pocket under the breast gland to one under the pectoralis muscle. She may use the same incision used to insert the original implants, although a different or larger incision may be needed.
- Implant Replacement and Repositioning: In many cases, she replaces the breast implants at the same time as the explant or breast implant revision. She can surgically adjust the size of the implant pocket according to the patient's desired implant size. Implant repositioning may involve modifying the capsular tissue, and in rare cases, adding a biological mesh ‘sling’ to support the implant.
- Replacement with Fat: If the patient wants a more natural look and feel or to go smaller, the implants can be replaced with the patient's own fat.
Treatment Options for Capsular Contracture
Non - surgical Options
Non - surgical treatments can be considered in some early - stage cases of capsular contracture:
- Ultrasound Energy Therapy: This therapy uses ultrasound waves to try and break down the scar tissue and reduce the tightness around the implant.
- Steroid Injections: Steroids can help reduce inflammation and may soften the scar tissue. However, their effectiveness can vary from patient to patient.
- Targeted Anti - inflammatory Medications: These medications aim to reduce the immune response that may be contributing to the capsular contracture. But they may not work for all patients.
Surgical Options
Surgical treatments are often more effective for treating advanced cases of capsular contracture:
- Capsulectomy: This is the most common surgical procedure for treating capsular contracture. It involves the removal of the entire scar capsule. This can provide immediate relief from pain and improve the appearance of the breast.
- Implant Repositioning: Sometimes, moving the implant to a different location, such as from submuscular to subglandular or vice versa, can help correct the problem and reduce the likelihood of recurrence.
- Implant Replacement: In some cases, replacing the old implant with a new one may be necessary, especially if the implant is damaged or the patient wants a different type or size of implant.
Recovery Process after Capsular Contracture Treatment
The recovery process after capsular contracture treatment can vary depending on the type of treatment and the individual patient. However, there are some general guidelines:
Initial Days
In the first few days after surgery, patients can expect swelling, moderate discomfort, and minor bruising. Pain medications are usually prescribed to manage the pain. Patients are advised to rest quietly and avoid strenuous activities.
First 1 - 2 Weeks
Patients can gradually return to moderate - level activities. However, strenuous exercise and heavy lifting should be avoided. If drains were placed during surgery, they are usually removed within this time frame. Patients may need to wear a surgical bra to support the breasts and aid in the healing process.
Week 3 and Beyond
Most patients achieve full recovery and can resume all normal activities. However, it may take several months for the swelling to completely subside and for the final results of the surgery to be visible. Scars will gradually fade over time.
Benefits of Capsular Contracture Treatment
Treating capsular contracture offers several physical and emotional benefits:
- Restored Comfort: Treatment can relieve pain and discomfort caused by the tightening of the implant capsule, improving the patient's quality of life.
- Improved Aesthetics: By repositioning or replacing the implants, the procedure can restore a more natural breast shape, resolving issues like asymmetry or distortion.
- Enhanced Confidence: Patients often report a renewed sense of self - assurance following the procedure, knowing their breasts look and feel their best.
Who is a Candidate for Capsular Contracture Treatment?
Ideal candidates for capsular contracture treatment are those who:
- Experience pain, tightness, or aesthetic concerns related to breast implants.
- Have been diagnosed with grade III or IV capsular contracture.
- Are in good overall health and have realistic expectations for surgery.
A consultation with a qualified surgeon is essential to determine the best course of action.
Conclusion
In conclusion, breast implant capsular contracture is a complication that can have a significant impact on a patient's physical and emotional well - being. In Albany, there are numerous top - tier doctors and treatment options available to address this issue. The top 10 doctors mentioned in this article have proven track records in treating capsular contracture and providing high - quality care. Treatment options range from non - surgical to surgical approaches, and the recovery process, though variable, can lead to improved comfort, aesthetics, and confidence. If you are experiencing symptoms of capsular contracture or are considering breast augmentation and want to be informed about potential complications, it is advisable to seek a consultation with one of these experts.
Don't let capsular contracture affect your quality of life. Reach out to one of the top doctors in Albany today to schedule a consultation and take the first step towards a solution. Share this article with others who may be going through a similar situation to help them make informed decisions.
