Robert Whitfield MD discusses capsulectomy surgery and the Baker grading system for capsular contracture, which rates severity from Grade I to IV. He notes the system was developed when implants were placed above the muscle, unlike today's more common submuscular approach.
Going to do a video about capsulectomy, hopefully have that out this week or early next week. And just going over articles from the 70s and reading about how the different interpretations of capture contracture and therapeutic modalities they use to try to intervene to reduce its incidence. And it's just really interesting to read about. So I look forward to doing a whole show about it. I get asked about capsulectomy pretty much every day. Patients have a lot of questions about it, whether it's going to be partial, complete, intact, in block, all these different, you know, questions. And I do see a lot of patients with capture contracture. And the the standard subjective grading system created by Baker in about 1975, the grade one through four, or the augmented breast will feel relatively, you know, soft. Grade two, it's more of a palpable implant, but not, not hard or painful to the patient. And then grade three, there's more firmness. It can be palpated relatively easily. And grade four, the breast is hard, it's tender, it's distorted. And this Baker grade calcification system was really created when implants were predominantly placed behind the breast, above the muscle, not like they are routinely now, which is behind the muscle. So look forward to sharing this episode with you all. Look for it when it comes out.
