Capsular contracture is an abnormal scar tissue layer that sometimes forms around breast implants causing discomfort and firmness. Capsular contracture can also cause the breasts to appear distorted or asymmetric. Capsular contracture is one of the most common problems encountered after breast augmentation and can require additional surgery to repair.
When a breast implant (or any device) is placed in the body, a thin layer of scar tissue known as a capsule develops around the implant. This is part of the normal healing process. However, if that capsule layer develops excessively and tightens around the breast implant, it is called “capsular contracture.” The main causes of capsular contracture are inflammatory reactions due to infection or bleeding. Infections that cause capsular contracture may occur from the breast implant surgery, from an infection elsewhere in the body such as the urinary tract, or even following dental work. A rupture in a silicone gel implant is another common cause of capsular contracture.
A classification system has been developed to describe the severity of capsular contracture ranging from mild to severe. Mild cases of capsular contracture with no symptoms or visible deformity may not require additional surgery. More severe cases of contracture that cause visible or palpable firmness, pain, displacement, implant rupture or deformity usually require additional surgery.
A “capsolotomy” is a surgical procedure that involves releasing (rather than removing) the capsule. This technique is generally reserved for mild cases of contracture to improve breast symmetry. A “capsulectomy” is a surgical procedure performed by removing the scar tissue capsule layer. This procedure is recommended in cases with thick, calcified capsules. There is also a variety of medications that are being investigated to treat contracture such as Accolate (Zafirlukast) and Singulair (Montelukast), but nothing to date has been FDA approved.
The best treatment of capsular contracture is to avoid getting this problem in the first place. Precise surgical technique with no bleeding and my “no-touch” placement of the breast implant has enabled me to keep capsular contracture to a minimum in our practice.
The physician took the time to understand what I wanted out of the surgery and he is very knowledgeable and professional. The Staff is kind and supportive and the office is clean and comfortable. My overall experience was wonderful and I will highly recommend ya’ll to everyone! The doctor took the time to listen to what I wanted from the procedure and worked with me to find the perfect size. The doctor explained why the size would be perfect based on my chest cavity and it was perfectly correct!
The staff and Dr. Ciaravino are very friendly and knowledgeable. They made me feel very comfortable before and after my procedure. Everyone in the office is very friendly and professional. I did not have to wait very long and answered all of my questions. Dr. Ciaravino’s expertise and advise was greatly appreciated and very happy with the results!
Dr Michael Ciaravino is a Magnificent Surgeon!! Honest, knowledgeable, caring with excellent bedside manners. I have been his patient for several years and I will never go to another doctor. I am so happy with my recent Breast Augmentation! My recovery has been easy, and I feel great ! Thanks to Dr. Ciaravino and his Amazing Team who made my experience be a terrific one ! I can’t say enough good things about the amazing Ciaravino Girls ! Thank you beautiful ladies for being there for me.
I was extremely nervous about scheduling Breast Augmentation/Liposuction surgery without visiting the facility due to me living abroad. Upon my arrival to Texas, I was able to visit the office for a consult/pre-op. The moment I walked in I was greeted by the receptionist and amazed by the chic yet calming decor. This was very much needed since I walked in with butterflies in my stomach. The nurse/patient coordinator was very attentive and assured me of the smooth process. She was definitely right. Dr.Caravino is amazing he was able to give me a very natural yet sexy look. I’m so very thankful and planning another visit soon. Thanks again to Dr. Caravino for giving me my pre-mom body back and thank you to his staff for being just as amazing.
Very professional staff. The doctor made every visit comforting and he’s clearly great at what he does. Love the end results, 2 days after the procedure I was feeling great! No pain, no bruising, everything was awesome!
EVERYTHING! The look, the ease of transitioning back to “normal”, the care….EVERYTHING! The doctor and staff are AMAZING! He and his staff were very attentive to my questions and needs and always made me feel at ease. I have already referred three people to him!
Dr Ciaravino and his staff exceeded my expectations. I have several of my friends whose gone to him for augmentations and recommended him. I couldn’t be more pleased!! From the scheduling over the phone for the consultation to the post-op appointment, choosing this practice is by far the best decision I made for myself. I can’t express how highly I will recommend to anyone looking for a change, I actually already have passed on his information to a couple ladies. The results are more than I imagined and I only had my surgery Nov 15, 2017 (2 weeks ago). I never had to take any of my pain medicine which as my first surgery ever I didn’t expect it to be so perfect! Thank you again to you Dr Ciaravino and his lovely beautiful staff for making me feel comfortable before and after. Look forward to seeing you guys in 3 months.
Information was explained clear and concise. I felt prepared in every aspect on what to expect and how to handle myself during the recovery process. The recovery went as explained and I had minimal discomfort. I am loving my results, the whole process was wonderful!
The accessibility of the staff after my procedure to answer questions I had was phenomenal. The results are amazing, I couldn’t be happier! The staff and Dr. C are all very knowledgable and very helpful. Dr. C did a fantastic job with my procedure and I am excited to see the final results once I am completely healed.
The staff was very friendly and helpful through the entire process. My results are exactly what I wanted and asked for as far as size and shape with a more natural look.
Doctor Ciaravino gave me exactly what I wanted. I love the way my breasts look. His assistants were very knowledgeable, helpful and extremely nice! I love the way my breasts look. I wanted natural and that’s what Doctor Ciaravino gave me.
Dr C’s office and staff are first class. Always kind, helpful and considerate. Each time I go in, it feels like going to see friends! I had abdominoplasty and breast augmentation. I love my body! Could not ask for better results!
From the first consultation to my last post-op app I have been so happy with everything. Dr Ciaravino and his staff have always made me feel super comfortable. I will be going back for any cosmetic procedures I need in the future!
Friendly staff and environment. Dr. Ciaravino was very thorough about explaining the risks and possible complications of the surgery and how to prevent them. Other than what I had researched about him prior to my consultation, I knew he’d be the perfect doctor to perform my surgery because of his bedside manner skills! Down to earth and doesn’t make you feel like a number. He addresses your concerns and took the time to explain my questions.
Everyone from the CSM to the nurse who has been on staff for 8 years. Everyone made my husband and I feel very welcomed and comfortable. Didn’t feel pressured and the staff was very informative!
Nadia helped explain every single thing I would need to know in such detail, I felt that I knew exactly what I was getting into. She is so sweet and kind I was nervous and she helped calm my nerves and make me feel right at home. By the time the surgeon entered the room, I had most of my questions answered so I felt fully ready and excited. Nadia is the BEST.
Dr. C, you and your staff are great!! You all made the whole process practically painless. I am very impressed with the results…You are so professional and at the same time so compassionate and caring, another happy patient!!
I cannot say enough wonderful things about every single person I encountered at this office. You are all thorough, kind, conscientious, and beautiful inside and out!
I have always been a bit apprehensive about having breast augmentation. Although I wanted one, I had a fear that they would turn out too big and look unnatural. Dr. Ciaravino listened to my concerns and truly did a beautiful job. He is truly an artist with his ability and truly did a beautiful job.
Just wanted to let y’all know that I think that Dr. Ciaravino is by far the most talented doc around. I had my surgery on Monday and haven’t had a pain killer since Tuesday morning. Not even a Tylenol. There was no bruising or swelling at all. I am just amazed at how simple and painless the whole thing was. I attribute this to Dr. Ciaravino’s talent and gentleness.