The Importance of Total Capsulectomy in Treating Breast Implant Problems.

I was exchanging breast implants and performing a capsulectomy the other day (to treat a breast encapsulation) when my anesthesia provider expressed surprise at my method. Specifically, she had commented that she has never worked with a breast implant revision specialist, especially one in Beverly Hills or California, who had removed the WHOLE collagenous capsule when treating a breast encapsulation. Apparently she has only seen plastic surgeons either make slits in  capsules (capsulotomy) or only partially remove them.  

Evidently, she was part of a growing support group of women who had their breast implants removed for mainly medical reasons and were firm believers that any associated capsules needed to be removed in their entirety during the same operation. Up to now I had no idea that performing a total capsulectomy is “a thing” and supposedly I am among a minority  who do this par for the course.

  One of the leading theories for breast encapsulation relates to bacteria and their byproduct, biofilm (a type of organic shield, if you will), surrounding the surface of the breast implant itself. One can safely assume that if a breast implant is supposedly contaminated by bacteria so is its associated surrounding capsule. Therefore, it is only logical to remove the collagen capsule in its entirety when removing or exchanging a breast implant, whether it be silicone or saline.   I created this video below to help patients better understand the vexing process of breast encapsulation and methods to treat it. Though breast augmentation​​ is one of the most popular plastic surgical procedures performed today, it is also one of the most capricious or unpredictable because breasts often times have a mind of their own and do not behave in the way we would like them to.​   Dr Haworth 2017

Bad Posture = Droopy Breast Augmentation

As being one of the leading breast augmentation and implant revision specialists in Beverly Hills, Dr. Randal Haworth has noted how important a part posture plays in enhancing the breast appearance. Women with rounded shoulders impart a bigger, heavier look to their breasts, almost matronly if you will. By squaring off the shoulders, not only does a silicone or saline breast augmentation look more perky and youthful, but also a heightened feminine self-confidence is implied. Certainly not a “slacker” look 😉
After Breast Augmentation with rounded shoulders Good posture equals beter breast augmentation result
How rounded shoulders associated with bad posture can change breast augmentation results Note How Good posture Enhances the Breast Augmentation Result
For further information, go to Follow Dr Haworth on Twitter: @drhaworth