What You Should Know About Capsular Contracture

Capsular Contracture ft myers

Even when a plastic surgeon is highly skilled at performing surgical procedures, there’s a possibility that complications will occur. This is partially because every person is different, which means there are variations in connective tissue and the way a person heals. Subsequently, sometimes scar tissue is developed that’s thicker than what might be considered the norm.

About Capsular Contracture

It’s normal for scar tissue, referred to as a “capsule,” to form after a cosmetic or medical implant because it’s part of the healing process. This happens because the body is trying to isolate a foreign object that’s detected, which is a natural protection mechanism. For instance, the body naturally attempts to create a barrier between breast implants because they are considered foreign. That barrier is a capsule, which is actually a good thing since it can help to ensure breast implants stay in place. The problem arises when capsules become hard. Another issue is when they start to contract around the breast implant. While it might cause pain, it’s more likely to cause problems with the visual appearance of the implant.

What Are Capsular Contracture Grades?

There is a grading system from 1 through 4 that are used to indicate the severity of capsular contracture. Grade 1 is when the capsular does not interfere with the overall appearance of the breasts. Specifically, with a Grade 1 capsular contracture, the breasts are still soft and have a natural appearance. Grade 2 is when the breasts feel a bit firm when touched, but the appearance and the shape is normal. In Grade 3, both the appearance and the feeling of the breasts are affected. By the time a capsular contracture reaches Grade 4, there’s a good chance that the breast implants have become painful, as well as misshapen and hard to the touch.

Likely Causes of Capsular Contracture

As previously mentioned, every patient is different, and what might cause a capsular contracture for one person, might not cause it to occur in another. In other words, it can be difficult to pinpoint the reason why it happens. Nevertheless, capsular contracture is not caused by breast implants being toxic, nor does it happen because breast implants are inherently dangerous. Saline used in implants is saltwater, which can be absorbed into the skin without any problems. It’s also worth noting that implants made of silicone gel are not the reason for this issue.

Capsular contracture is not something that only happens with breast implant surgery. It actually occurs with different types of surgical procedures. The reason why it gets so much attention when it happens after breast implants are because it’s so much more noticeable when it reaches Grade 3 or Grade 4 since the appearance has changed. As it relates to how capsular contracture impacts a person’s health, it usually isn’t an issue unless the patient has gel implants that have ruptured.

Certified by the American Board of Plastic Surgery, Dr. Lorraine Golosow is a trusted plastic surgeon and member of the American Medical Association and the American Society of Plastic Surgeons. She was also the Chief of Plastic Surgery at Lee Memorial Hospital. Dr. Golosow can answer any questions you have about breast implants.

What You Need to Know About Allergan’s Textured Implant Recall

Recently, Allergen recalled their Natrelle BIOCELL textured implants because of a possible link between the implants and a rare Lymphoma called anaplastic large cell lymphoma (BIA-ALCL). This is not breast cancer, but a type of non-Hodgkin’s lymphoma, or cancer of the immune system. While a breast implant recall can be concerning for anyone who has undergone the breast augmentation, here’s what you should know to get some peace-of-mind.

If you do not have textured implants

This rare type of lymphoma has only been linked to textured implants, specifically Allergen’s macro-textured implants. Textured implants are often used because they stay in place more effectively, reducing the risk of an implant turning or flipping. However, many surgeons do not offer the textured implants anymore, due to rare but possible health risks. If you had smooth implants placed, you likely have nothing to worry about when it comes to your risk of developing lymphoma. If you are unsure of what type of implants you have, contact your plastic surgeon.

If you have textured implants

If you know you have textured implants, your chance of developing this type of lymphoma is still very rare, but you will want to check with your surgeon to determine if the Allergen implants were used or not. If you do have Allergen textured implants, and do not display any signs of lymphoma, it is still not recommended to have your implants removed because the risk is still very low. Symptoms of BIA-ALCL include swelling or pain near the breast implant. If you do experience these symptoms, talk to your doctor about further examination and a possible implant removal with your plastic surgeon.

If you require implant removal

If you display symptoms of BIA-ALCL, you may require implant removal. During implant removal, incisions will be made over your existing scars. The implants will then be removed and can be replaced with your choice of different implants.

If you’re considering breast implants, talk to Dr. Golosow about your options and which implant type is right for you. To schedule your consultation, contact our office today.


How Do I Choose An Implant?

It’s a common misconception to think that you’re avoiding silicone altogether when you choose saline breast implants. The outer casing of the implant is still comprised of silicone. This is just one fact about implants that should be considered as you look at your options for breast implants. Here are some additional factors that can help guide you to the right implant option for you.

How Do Silicone and Saline Breast Implants Differ?

Saline Implants Leave Smaller Scars

This is one benefit that causes many women to opt for saline implants. This is the case because saline implants can be filled after they are placed within the breast tissue pocket. If you’re concerned about scarring, then saline implants can be a good option.

Silicone Implants Won’t Ripple as Much

Either type of implant has a possibility of rippling or wrinkling over time, but this is a more common occurrence with saline implants. When an implant does wrinkle, it can produce ripples in the skin that can be seen on the bottom or sides of the breast. Since silicone gel implants are more form stable than saline, they have a lesser chance of producing visible complications.

Detecting a Rupture

While ruptures are rare, they do occur. Fortunately, with saline implants, a rupture is immediately noticeable and safer than silicone implants. As the rupture occurs, the saline will leak out of the implant quickly, causing the breast to deflate. The saline solution is not harmful and is absorbed into the body without concern. The deflation of the breast helps you to recognize that a rupture has occurred.

Alternatively, it’s almost impossible to notice that a silicone implant has ruptured. This is because the silicone collects in the breast pocket, where it may cause discomfort. According to FDA guidelines, women should get MRI exams every two years, starting with the third year after having received silicone implants. This can help to detect weak areas that might be prone to rupturing in the future.

How Much Do Implants Cost?

Another important factor to consider is the cost of the procedure, which is partially determined by the cost of the implant. Saline implants are considerably less expensive than silicone gel implants. By choosing the saline implants, you can save between $500 up to $1,000 on a breast augmentation procedure. Since the cost of the procedure is a major deciding factor for many people, saline implants present a more cost-effective option.

Schedule a Consultation

If you’re ready to move forward with a breast augmentation procedure, contact our office by calling or filling out our online form. An initial consultation can give you a better idea of what kind of results you can expect. Dr. Golosow is dedicated to providing high-quality services to women seeking breast augmentation and can discuss your best options for breast implants.

The Latest Trends With Breast Augmentation

Breast Augmentation is one of the most popular cosmetic procedures performed each year. This procedure helps many women to get their ideal breast size, shape, and contour. While there has been a rise in the number of noninvasive cosmetic procedures like fillers and Botox®, there are still many requests for breast alterations. In fact, there were over a quarter-million breast alteration surgeries performed in 2016. One of the biggest trends that cosmetic surgeons like Dr. Golosow are seeing is a preference for more natural-looking results. Instead of having a noticeable change, more women are desiring subtle results. This has changed the way that cosmetic procedures are being performed and has opened up many new options for women looking to get a natural look. Here are some of the other latest trends when it comes to breast enhancement.

The Gummy Bear Implant

One of the newest breast implants to hit the market is the gummy bear implant. This is a silicone breast implant that sports new, advanced technology to keep the cohesive silicone filling in place. The stiffness of the implants is contributed to crosslinking of the silicone gel which helps the material hold its shape better. This helps avoid wrinkling or rippling. One of the major health benefits of this type of implant is that the silicone filling, in the event of a rupture, will not leak into the body. With traditional implants, this seepage can be a major concern that requires additional surgery to fix. This can greatly reduce the need for replacement later on.

Quicker Recovery Times

With the advancement in surgical procedures, many cosmetic surgeons are recommending under-the-muscle placement. This requires an experienced surgeon, such as Dr. Golosow, who will use precision to perform incisions and create a breast pocket with less trauma on the surrounding tissues. The implant is then inserted with the utmost care. This procedure produces more natural-looking results. Due to the type of incision, there is minimal scarring, bleeding, and swelling after surgery. This translates to quicker recovery time for patients. While the under-the-muscle placement isn’t a one-size-fits-all solution, it can be used to speed up recovery and produce natural-looking results.

Breast Augmentation With a Lift

Many women are now taking advantage of the natural partner to breast augmentation, the breast lift. For those who have lost a significant amount of weight, those who have had multiple pregnancies, or older patients with less skin elasticity, a breast lift can be a valuable accompaniment to breast augmentation.

This is because a breast lift can address sagging and deflation that occurs over time. If you struggle with these concerns and opt for just implants, it won’t lift or elevate the breasts with just volume. In many cases, the entire breast can benefit from being reshaped with the help of a breast lift. This is an extremely effective combination.

Schedule Your Consultation

Breast augmentation is a complex procedure that can offer a lot of benefits. There are new advances in breast augmentation constantly, so it’s important to know the latest options and techniques that can help achieve your goals. If you would like to know more about breast augmentation and what it can do for you, contact our Fort Myers offices by calling or filling out our online form. Dr. Golosow can create the right breast augmentation procedure for you during a private consultation.

Why More Women are Having Their Breast Implants Removed or ‘Downsized’

breast implant exchange ft. myers

Chances are, if you’re considering breast augmentation surgery, you aren’t pondering reversing that surgery down the road. However, it’s important to take the step to acknowledge that at some point, you may want to exchange or remove your breast implants. Dr. Golosow is experienced in not only breast augmentation but also exchange and explant procedures. There are many reasons women may want to exchange/downsize or remove their implants. Let’s explore some of those reasons below!

A Growing Trend?

In 2015, more than 38,000 breast explant procedures were performed in the United States alone. According to the American Society for Aesthetic Plastic Surgery, growing numbers of women are requesting removal of their once-coveted larger breasts. The trend appears to be taking the internet by storm as well, with over 400,000 visits to the Breast Implant Removal forum on RealSelf.com. The site, which functions as a discussion board for consumers who’ve undergone plastic surgery, has seen a substantial rise in traffic over the past several years. There, consumers can find information on the removal process and converse with other individuals who share their sentiments. Many forum users express a desire to feel “normal,” or “less fake,” while others simply feel their implants no longer serve the purpose for which they were originally intended.

Implants Don’t Last Forever

According to Dr. Daniel Mills, president of the American Society for Aesthetic Plastic Surgery, women in the 35-50 age group generally have the highest number of explant requests. The statistics aren’t shocking either, considering the fact that implants generally have a life expectancy of about 10 years. According to Mills, most women who request explant surgery have had their implants for years, and as they age, have come to the realization that larger implants no longer fit into their lifestyles. Weight gain may also leave women feeling as though their breasts are too large for their bodies, necessitating either reduction or removal. Not to mention, retaining implants past the 10-year mark may come with complications, including rupture, hardening of the area around the implant, scarring and asymmetry, according to manufacturers.

Do We Prefer a More ‘Natural’ Look?

Culturally, the big-breasted look is just as popular as ever, but many women are now expressing a desire for full, curvy chests, just on a smaller scale. Breast augmentation surgeries are still among the most popular cosmetic procedures in plastic surgery, with over 300,000 procedures performed in 2015 alone. What surgeons are finding, however, is that women initially request smaller implants, and those who request explant surgery are often seeking a simple downsize, not a full removal. Even in the retail market, sales of barely-there bralettes and daintier sports bras have begun to soar — signs that the trend is undoubtedly shifting toward smaller breasts. It’s not surprising, either, given the fact that growing numbers of women are participating in high-intensity training, where larger breasts can present a significant challenge.

Should You Remove Your Breast Implants?

Among women considering explant surgery, a common worry appears to have emerged: impending regret. Many women who’ve had their implants for a long time are concerned they’ll regret the procedure after having it done; however, this doesn’t appear to be the case. The majority of women who undergo explant surgery report feeling satisfied with their results, whether they opt for just a downsize or full removal. At the end of the day, that’s what truly matters, women feeling satisfied and proud in their own bodies.

Breast Augmentation Recovery Overview – Everything You Need to Know

Breast augmentation is a medical procedure that involves the use of either “fat transfer” or implants to enhance the shape and size of your breasts. This type of cosmetic surgery (also known as plastic surgery) has been very popular for many years. Women from all areas of the world have changed their lives and their appearances with breast enhancements, and the process was the leading surgery performed in the U.S. this past year.

So many women thoroughly enjoy the results of their breast augmentation, stating that they have more confidence and comfort in their own skin.

Before you choose to have this procedure done, you will want to know everything about the surgery and the breast implant recovery. You will need to know what to expect prior to the process and during the recovery process, as your recovery is important when it comes to seeing the results you want. During your consultation, Dr. Golosow can walk you through your steps as well!

How Long Does It Take to Recover from this Type of Cosmetic Surgery?

Every woman’s healing time may be different, as each female’s body is different. Most women fully heal within a month and a half after their breast augmentation procedure. Some women might feel 100% back to normal after just a few weeks. Dr. Golosow can evaluate your health, and then offer you a more definite time-frame before you have your cosmetic surgery performed.

After Surgery – Breast Implant Recovery Overview

After you wake up from anesthesia, you can expect to feel sleepy and the surgical area will feel sore. You might feel the same as you would the day after using a sleeping aid, but the anesthesia effects will go away in a couple of hours. Dr. Golosow will advise you, prior to your breast surgery and recovery, that you must have someone else drive you home. Someone will need to stay with you through your first evening at home as well.

The First Few Days After Surgery

During the first 5-7 days after your breast enhancement procedure will be the days you might feel the most soreness and tenderness in and around the surgical location. There will be some swelling as well. You will be given a prescription for pain. However, most women only need this medication in the first few days.

The Second to Fourth Week Post-Operative

Dr. Golosow will encourage you to take things slowly and get back to your routine with small exercises and chores. By this time, your tenderness and pain should be hardly noticeable, however, we recommend that patients do not engage in any strenuous activities for the first few weeks. Dr. Golosow does not want you to injure yourself, so you should not lift anything heavy until you completely recover. If you have a job where heavy lifting is required, we recommend taking about three weeks off of work to heal.

Complete Breast Implant Recovery

Dr. Golosow will want to follow up with you when you have recovered from surgery. At the follow-up appointment, she will evaluate your recovery process. Normally, after a couple of months, most women will be able to resume all normal activities at home and work. It is important to listen to all Dr. Golosow’s medical recommendations so there won’t be any problems and the implants will heal correctly.

Tips for an Easier Breast Implant Recovery

  • Buy a couple of recovery bras before surgery. The bras will help lower the pain and help you recover faster and easier. They also help stabilize the breasts and implants while you heal, and they help to improve circulation and provide slight compression to guarantee adequate lymph drainage.
  • Buy bras that are made from breathable cloth, have a seamless (all-in-one) design, adaptable straps, and are comfortable. Such features in a bra are vital because your surgeon will recommend that you wear a bra (day and night) for the first couple of months after surgery
  • Before your surgical procedure, it is advisable to have someone available to help with housekeeping, etc. If you do these activities without help, you will want to do all of them before your breast enhancement is done
  • It is recommended that you make a meal plan (enough meals for at least five days)
  • If you believe you will need pain medication, you should fill the prescription the day before your procedure
  • If you have younger children, you should ask a friend or relative to help you with your children – you will not be capable of lifting your little ones for a couple of months
  • Lastly, it is important to rest as much as possible, eat healthier and drink more water (water with electrolytes work best to re-hydrate the body)
  • Keep in mind that smaller meals and foods that are easier to prepare will make your recovery process easier too

Once your breast implant recovery process is complete, you can enjoy your new appearance and life. Dr. Golosow is there to help you with every aspect of your surgery and the healing process. She is also there to encourage you to enjoy your life-changing surgery. You can go into the whole procedure with self-assurance; you will be capable of managing your improved profile, as well as the recovery.

Remember that your board-certified plastic surgeon is always available to answer any inquiries or concerns, during and after your breast enhancement surgery. We want you to have the best results and the best experience!



When Should I Opt for A Breast Implant Exchange or Removal?

Most women find excellent, long-term results with their breast augmentation procedure. However, it’s common to expect to undergo an additional surgery at some point after breast augmentation for various reasons. There’s no hard and fast age or number of years for an implant exchange or removal, but rather there are some things to watch out for that indicate it’s time to speak with your plastic surgeon.

Your implants are showing signs of wear

Although ruptures aren’t necessarily dangerous if they’re caught early, it’s still better to prevent them from happening altogether. It’s important to regularly examine your implants and, if you’ve had them for many years or believe they’re becoming prone to rupturing, you should see your plastic surgeon to discuss your options. If, after your breast augmentation, your plastic surgeon recommends regular MRIs to check for weaknesses, you should have them on a regular schedule. Although it’s not the case for every woman, implants generally last for upwards of ten years before they begin to require an exchange or removal procedure.

You’ve begun experiencing complication

Complications are always a risk with surgery, but implant surgeries come with specific complications to watch out for. The most common is capsular contracture, which occurs when scar tissue forms in excess around the implant. This can sometimes occur well after surgery, as well as other complications like rotation or migration of the implant (sometimes as a result of capsular contracture). It’s important to know your body and see your plastic surgeon if you begin to notice anything unusual, and they can determine whether it warrants an implant removal or exchange.

You’re no longer happy with your results

Both you and your body will inevitably change over time, and sometimes your implants change unfavorably. Whether you feel your results no longer fit your body or you simply would like to return to your natural breasts, your plastic surgeon can discuss your options for choosing new implants or removing them entirely. After all, it’s most important that you’re happy and confident with your body, so you should never feel like you have to live with unsatisfactory results.

Dr. Golosow is a top breast surgery specialist in the Ft. Myers area who can discuss your options for breast implants and achieving your intended results. To schedule a consultation, contact any of our offices by calling or filling out our online form.

What Should I Know Before a Breast Implant Exchange?

Sometimes, patients realize they would like to undergo an additional procedure after a breast augmentation. Although sometimes this is elective and sometimes it’s the result of complication, a breast implant exchange procedure can effectively replace implants. No matter your reasons for opting for a breast implant revision, there are some things that you should be sure to discuss during your consultation with Dr. Golosow.

Your New Implants

Sometimes, patients opt for a different implant size, shape, or type with their implant exchange. For this reason, it’s important to learn about your new implants and what you should expect. With a different implant, you may need to watch out for different signs of complication or expect a different feel or appearance. For example, a patient that experiences complication or rupture with one type of implant may opt for another type, meaning they may need to learn about their new type. During a consultation, Dr. Golosow can discuss what to expect with your new implants and even recommend the right one to get the results you’re looking for.


Although this might seem obvious, it’s an important factor that can impact the course of your surgical plan. If you’re experiencing capsular contracture or a rupture, these will need to be addressed during surgery before the new implants can be placed. It’s also important to know what to watch out for after your exchange surgery. If you feel or notice any unusual signs with your breasts or implants, you should be sure to discuss these with Dr. Golosow who can look into it further.

Additional Surgical Techniques

Each patient’s procedure will be unique, but some patients require additional breast surgery techniques during their exchange procedure to get best results. This can sometimes include a breast lift or breast reduction to further refine results or restore the breasts after a life event like nursing or weight loss. In most cases, these surgical techniques can be performed in one surgical session, although you’ll discuss with Dr. Golosow beforehand which techniques will benefit you most.

Whatever your goals for an implant exchange procedure, Dr. Golosow can recommend the best techniques and procedure for you. To schedule a private consultation, contact our Ft. Myers offices by calling or filling out our online form.

5 Common Misconceptions Regarding Liposuction

liposuction naples fl

Everyone wants a slim, toned physique. However, sometimes regular exercise and a healthy diet just are not enough. Liposuction is a comprehensive solution to getting rid of stubborn fat deposits to achieve the body you want. However, despite this procedure’s popularity, there are still misconceptions that surround it. Read on as we clear up many of these misconceptions.

Liposuction can Treat Cellulite

Truth: Liposuction is only able to remove soft, fatty tissues; and since cellulite is not simply an irregular pocket of fat, liposuction cannot alter the appearance of cellulite.

Liposuction will fix sagging skin

Truth: The main job of liposuction is to remove excess fat deposits. It cannot, however, fix sagging or lax skin. If you are dealing with noticeable areas of lax skin, your surgeon may recommend a skin tightening procedure to address it.

Fat deposits will return after liposuction

Truth: Liposuction results are long-lasting, and once those fat cells are suctioned out, they will not grow back. However, there will still be some remaining fat cells in the area that can grow in size if your calorie intake is excessive. That is why following a healthy lifestyle and maintaining a healthy weight is important in maintaining liposuction results.

Liposuction is only for women

Truth: Liposuction is a great treatment for both men and women! In fact, it is quickly rising in popularity among men to achieve a trim appearance.

Liposuction is dangerous

Truth: While every type of surgery carries some element of risk, liposuction techniques have become more and more sophisticated over the years. If performed by an experienced, board certified plastic surgeon, liposuction can be as safe as any other surgical procedure.

If you are interested in learning more about liposuction, contact our office today to schedule a consultation with Dr. Golosow.


Choosing the Right Implant for You

golosow breast implants

As you navigate your breast implant surgery consultation, one of the most important things to discuss is which implant suits you most. Whether you’re undergoing augmentation, revision, or reconstruction, there are some things to consider with the help of Dr. Golosow as you research your preferred implant. Here are some factors in deciding what will work best.


Implants come in a huge array of sizes that are much more complicated than a bra cup size. Although bra sizes can be helpful in describing how large you want your breasts to be, they can be unreliable when it comes to translating them to cup sizes. Also, implants usually gain a higher profile as they become larger, meaning they protrude further. This can also be a valuable measurement when choosing your implant, so you can try looking at your profile sideways in the mirror to determine what you want your results to look like.


Although breast implants were once a little more obvious due to their shape, implants have come a long way. You’ve now got more choices in shape, and teardrop-shaped implants can offer more natural, subtle results if you don’t want as much projection or volume in the upper breast. However, round implants offer the opposite, so it all depends on what you’re looking for. One thing to consider is how much cleavage you would like to have, and what you want it to look like.


This is one of the most common ways of classifying implants, but each type offers simillar sizes and shapes, so you can make this decision independent of your other factors. The two types are silicone, which is filled with a silicone gel, and saline, which is filled with a sterile saline solution. Both types are contained within a silicone shell, and can be placed differently during the procedure. They each offer different feel and risks (for example, silicone can feel softer, but require MRI’s to check for leaks or ruptures), so Dr. Golosow can help you weigh each type for the best fit.

There are many, many things to consider during your breast procedure, but Dr. Golosow can guide you through the decision-making process. It’s important to ask any questions you feel that you need clarification on, as well as thoroughly describe your intended results. It can even be helpful to bring pictures of what you hope to achieve. To schedule your consultation with Dr. Golosow to discuss your options, contact our office by calling or filling out our online form.