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Posted On: January 14, 2014 Author: The Office of Dr. Stuart Linder Posted In: Breast Revision


The patient below presents with severe Baker IV capsular contracture with encapsulation.  Baker IV capsular contractures are usually associated with painful hardened breasts with severe distortion and may be associated with coldness and loss of sensitivity as well.  This patient presents with severe encapsulation and hardening with a Baker IV capsular contracture and slight asymmetry.  Through a periareolar approach, the patient underwent an open periprosthetic capsulectomy, circumferential open capsulotomy, removal and replacement with 320 filled to 375 cc high profile saline right, 325 to 355 left, in order to regain symmetry.  Her postoperative results show softening of her breast bilaterally, well-healed periareolar scars and there is softening of the lateral and inferolateral portions of each breast that the upper pole scar tissue contracture has now been released, especially in the axillary region.

 Open capsulectomies conservatively with circumferential open capsulotomies should be performed on patients with Baker IV capsular contractures as noted in this example.