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Patient Testimonial

  • Dennis Dass, MD
    5 Dennis Dass, MD - Reviews by Roxy

    I'm very happy I had my breasts done. I'm so much more confident now.
  • Dennis Dass, MD
    5 Dennis Dass, MD - Reviews by janicegold

    Highly recommended. Thank you doctor! I appreciate everything you have done for me. The experience & results were great!
  • Dennis Dass, MD
    5 Dennis Dass, MD - Reviews by Laura

    I'm so happy I did it. My daughter was amazed at the difference
  • Dennis Dass, MD
    5 Dennis Dass, MD - Reviews by Erika

    The recovery was quicker than I expected.
  • Dennis Dass, MD
    5 Dennis Dass, MD - Reviews by Melissa

    I have hated my tattoo for years and wanted to get it removed. After a painful experience with a local laser center, I sought out a different provider and found Dr. Dass. He uses the PicoSure laser instead of the traditional Q-switched laser. My first session with him was painless from beginning to end. He numbed the entire area! His staff are caring and warm. I am so lucky I found Dr. Dass!
  • Dennis Dass, MD
    5 Dennis Dass, MD - Reviews by Robert M

    So…I was in Los Angeles for a conference this summer and realized that I needed liposuction because I’ve been too busy with work. I decided to have it done while I was out there since Beverly Hills is the plastic surgery capital of the world. I had a consult and immediately booked Smartlipo on my belly and love handles. It was perfect because I had the weekend to recover before flying back home. Its like night and day, I’ve gone down like 4 inches on my waist and the love handles are completely gone. Two thumbs up, way up.
  • Dennis Dass, MD
    5 Dennis Dass, MD - Reviews by Robert M

    I had to write a review for Dr Dass, because I absolutely love the results from my breast augmentation . He spent time with me and I didn’t feel rushed. Went with the Sientra implants for my piece of mind. The recovery was not as bad as I thought it was going to be, and he saw me for all of my follow-ups. I highly recommend seeing him.

Asymmetry and Firm Implants due to Capsular Contracture

About 20 percent of women will desire adjustment of their implants after breast augmentation. The most common reasons include switching to a different implant size, asymmetry, implant mal-position, and capsular contracture.

Capsular contracture is a condition where the scar tissue around a breast implant becomes abnormally thick. Capsular contracture can make the implant uncomfortable, and feel hard to the touch. The thickened scar can squeeze the implant causing a change in the shape of your breast, or it can alter the position of the implant, resulting in breast asymmetry.

The exact causes of capsular contracture are not known. There is some evidence that it is linked to subclinical (low-grade) infection around the implant, bleeding in the area of the implant, and by the body’s reaction to foreign substances (to silicone, for example). Capsular contracture can also be caused by an implant rupture. If your implant has looked and felt great for some time, but now your breast shape has changed or the tissue has become very firm, you could have an implant rupture. A breast MRI can determine if the silicone implant is compromised.

Capsular contracture is treated by surgery – removal of the implant, and cutting or removing the scar tissue in multiple places. Then, the same implant or a new one is placed into the breast. If the implant was previously on top of the muscle, it will likely be repositioned behind the muscle to reduce the risk of forming a tight capsule again. If contracture is caused by a ruptured silicone implant, then the entire capsule and implant will be removed (total capsulectomy), and a new implant placed.

Capsulectomy and implant replacement improve the appearance and symmetry of your breasts and make them soft again. However, patients who have had a capsular contracture are at a higher risk of forming it again (compared to a patient that has never had this condition).

If you are troubled by capsular contracture, you may need a breast augmentation revision. The cost of new implants will be covered by the manufacturer if there is a defect.

Call today to schedule an evaluation to determine if you need breast revision surgery in Los Angeles.

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