Rehabilitation After Surgery (ASPEN) for Capsular Contracture

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Is ASPEN for Capsular Contracture Right For You?

At Aristocrat Plastic Surgery, we strive to offer our patients with the highest level of care both pre-operatively and post-operatively. Here at Aristocrat we regularly use the ASPEN Rehabilitation System for capsular contracture, which is an ultrasound process to help your body heal faster and easier after surgery. ASPEN is treatable on both saline and silicone implants and can help to correct capsular contracture on implants under and over the chest muscle. It uses three ultrasound energy forces to speed healing and restore any restriction.

Dr. Tehrani and staff are so professional and I can’t recommend them enough Thank you for your amazing services you guys provide Making me look beautiful always

carolyn tehrani

I’ve been coming here for over a year and a half and they are amazing ! Such great bedside manners and so easy to pay and make appts.

Barbara Cevallos

I had a wonderful experience at Aristocrat Plastic Surgery Center. I had a mole removed from my face. It looks perfect…no scarring. I also had a Clear and Brilliant laser treatment and lip filler. I could not be more pleased with the results. The staff was incredibly kind and helpful; they patiently and attentively answered all of my questions. I look forward to visiting the center again in the future. They get an A+++ in my book.

Janis Creason

Going to Aristocrat office is always a great experience! Dr Tehrani is always so warm and welcoming, makes you feel like family. The front desk is the best at helping me with managing my profile, so hurry and make an appointment!

Joanne Verdecchia

The patience, kindness and hospitality go without saying! I can not wait for my procedure!

Dulely Perez

I was referred by a friend, and I’m so glad I came. My appointment was for injectables — an absolutely amazing experience with Dr. Toomey. From the moment I walked in, the staff was incredibly caring and friendly, making me feel completely at ease. The office itself is modern, sleek, and welcoming. Dr. Toomey is a true professional who took the time to listen to my concerns, answer all my questions, and deliver incredible results. I couldn’t be happier with how natural and refreshed I look. This is hands down the best experience I’ve had with any practice, and I will absolutely make this my “go-to” for all future treatments. Highly recommend!

Damian Priamurskiy

I can’t say enough about how wonderful my experience was with Dr. Tehrani and his entire staff. From start to finish I was made to feel safe and secure. Dr. Tehrani addressed all my concerns kindly and professionally. I was very pleased with the results of my procedure. For anyone considering plastic surgery look no further than. Dr. Tehrani is the best!

Janet Flynn

Elizabeth is excellent.the best esthetic provider i have ever had

Theresa Renart

“Dr. Tehrani provided an exceptional experience from start to finish. His expertise and professionalism immediately put me at ease, and I felt completely comfortable throughout the entire process. I experienced no pain, which is a testament to his skill and attentiveness. Dr. Tehrani was courteous, patient, and took the time to address all my concerns, ensuring I fully understood the procedure. His staff was equally impressive—friendly, professional, and always willing to go above and beyond to assist. The entire team created a welcoming and supportive environment. I truly can’t recommend Dr. Tehrani and his practice enough—definitely a 5-star experience!”

David Kavesteen MD

Kind skillful surgeon, you can tell he’s passionate about what he does. Very grateful and happy with my results!

Sofia Kirk

Dr. Tehrani is great! He is honest and personable. I feel more confident and beautiful about myself after every visit. I would highly recommend him!

Kristin Sireci

I love the team at Aristocrat! They are incredibly friendly, informative, attentive, and have great bedside manner. This was my first time getting a chemical peel and I am living my results so far!

Autumn Luck

I just love this place and the staff is excellent. Services are A+++, Dr.Tehrani is the best.

Latanya Canty

I had a virtual consultation to talk about fat transfer. Dr was very nice. He was honest about what I should I expect. I had a great experience

Hadiyah Phillips

The office staff is very helpful and kind. Dr. Tehrani is top notch! Caring, encouraging and supportive.

Jessica Lopez

Excellent. Smart. Professional. No feeling of “sales” and even fun.

Manya Steinkoler

Dr. Tehrani and the entire staff of Aristocrat is amazing. From my initial consult to my procedure and after care, these guys are amazing. Thank you to them, I feel like a new person!!

Sanjeev Dhir

I had liposuction on my stomach and flanks and upper back. I am also doing Morphis 8. Dr. Tehrani and all of the staff are professional but always warm and friendly and very compassionate about making your experience as comfortable as possible. He has the best staff ever!! I highly recommend Dr. Tehrani and his amazing staff!

ANDREA CALABRETTA

I recently had a procedure under local anesthesia with Dr. Tehrani, and I couldn’t be more pleased with the experience. I came to the initial consultation with doubts and fears, but Dr. Tehrani quickly earned my trust with his knowledge and reassurance. During the procedure, Dr. Toomy was also fantastic, providing excellent support alongside Dr. Tehrani. The staff were incredibly supportive and friendly, making me feel comfortable throughout the process. I always felt like I was in good hands. The procedure went smoothly with minimal pain, and the recovery was quick and easy. I highly recommend Dr. Tehrani and his team—his expertise and compassion truly made all the difference!

May Peer

Brilliant work, BrilliaNt Doctor, BrilliaNt Staff, Outstanding results.

TiEra

I came in for lipo and fat transfer to the breast around almost 3 years ago i would say. I was at my lowest mentally and physically, so i started looking for drs but every dr i talked too insisted i lose weight, but they did not understand that it was almost impossible for me to lose weight (have PCOS, which i did not know at the time of consultation and procedure and battling PPD) so it was and still a challenge to lose weight. Thanks to Dr. T i was able to have the surgery and gain my confidence back!! The team was kind, patient and just overall very nice people! Thank you Dr. T! Thank you for not judging me or my appearance! Thank you for helping me gain my confidence back! I truly havnt felt like this in such a long time. You changed my life!

Valentina Gonzalez

I had a great experience. Dr. Tehrani is one of the best in NYC!

Tamar Katamadze

The team at Aristocrat Plastic Surgery & MedAesthetics made me feel comfortable, safe, and satisfied with my experience. Dr. Tehrani does a fantastic job making patients feel welcomed and confident, with world-class care. I highly recommend seeing them for your needs.

Andrew Cantella

The clinic is beautiful the doc is amazing (great professional and great energy) made me feel comfortable from start to finish. Staff is friendly and the surgery was painless and done in about 90 min! Results are amazing! Very happy and satisfied with everything. I highly recommend them! Thank you very much 🙂

Milena Menard

Dr. Tehrani is seriously the BEST. His office is impeccable, modern, state-of-the-art and sophisticated. All staff are welcoming, warm, friendly and informative. From my first consultation I felt heard. He answered my many questions and made me feel at ease. My procedure was breast augmentation. It is something I always wanted ….I thought my window was closed for getting this procedure as I am in my 50’s. However, when you are in his office you can’t help but see the many people, all ages and sizes who have improved their appearance and I’m sure their confidence and well being as well. Dr. Tehrani and his staff anticipate all surgical needs and medications necessary for recovery. They set expectations for the experience and I had a realistic understanding of the surgery and what to expect post-operatively. As of this review I am 3 -months post op and look and feel great. Only one suggestion…..make those luxurious robes available for purchase!! I loved my experience and hope this review helps anyone who is considering one of Dr. Tehrani’s many procedures to know they are in excellent, truly gifted hands.

Nancy Lara-Repetto

Amazing service across the board! Dr. Tehrani and his whole staff made me feel comfortable and provided a smooth experience.

Tori Yi

For years I’ve been contemplating breast augmentation surgery but was unsure where to start. After my initial consultation with Dr. Tehrani I felt so comfortable and sure that trusting him with my surgery would be the right decision. 4 weeks post op and I’m feeling so confident and happy with my results. I couldn’t recommend Dr. Tehrani and his wonderful staff any more!

Brianna Costantino

The team at Aristocrat Plastic Surgery is amazing! I can’t thank them enough as I am beyond thrilled with my results! Dr. Tehrani is so talented, kind, and makes you feel at ease before, during and after the procedure! The COO, Kristin Azcona, is so professional, and responsive and made the experience very pleasant and seamless! All of the nurses on the team are super attentive and caring too! It was an overall wonderful experience and I highly recommend the Aristocrat Plastic Surgery team!

C. Parks

After years of research to find a surgeon to perform a breast augmentation, I went with Dr. Tehrani as his results were exactly what I was looking for. My first impression was already off to a great start when I received a very prompt, thorough, and warm response from Kristin to schedule a consultation. Every single staff member I’ve interacted with has treated me with the utmost consideration and kindness. They were very understanding, relieved my anxieties, and listened to any concerns I had regarding the surgery. My surgery and recovery went so smoothly and the results are even better than I had anticipated. Pleasantly surprised with how well my entire experience with Aristocrat PS has been, couldn’t be happier! ????

rockinonthemove

This review is past due. I had a botched lipo surgery for my thighs and if it wasn’t for Dr. T , I would have continued to feel ashamed of what Id done to myself. His entire staff was wonderful and relatable. The establishment was clean, organized and we’ll run. Dr. T was realistic with what can be done or not. He is quite talented and boy do the results speak for itself. Definitely get the massages too! They are important and if you can do them at their facility well you are halfway there to the results you hoped for. Take care of your body and follow their instructions. You won’t be sorry. Will be returning for sure.

Lisa Singh

I have very good experience with Dr. Tehrani .The staff was very friendly too.His work is amazing. I am very happy with my results. highly recommend .

maggie liu

My experience at Aristocrat Plastic Surgery has been amazing. Dr. Tehrani is an incredibly talented surgeon. His staff is so kind and friendly. Both Dr. Tehrani and his team make a very comfortable environment. Kristin, the office manager is just wonderful, so personable and always available to answer any questions or concerns. And Stephanie, the nurse I always see, is a sweetheart. I look forward to every visit! I am beyond happy with my results and so grateful I found Dr. Tehrani. I highly recommend Aristocrat Plastic Surgery!

Dominique c

Dr. Tehrani was recommended to me by a friend, and I am forever indebted to her for it. Going to Aristocrat Plastic Surgery was the best decision I made for the surgery I needed. I knew from the moment I had my first consultation that I was in good hands. I felt safe with him and his staff that prepped me for my surgery, and I am very grateful for all the work they did. I would recommend anyone looking for a plastic surgeon to go speak with Dr. Tehrani, you will NOT be disappointed!

Nina Pesa

Extremely pleased with my results from Dr. Tehrani!!! Him and his staff is also so kind and helpful as well

Dariel Smuckler

Dr. T and his staff provided outstanding care to me my first time getting injectables. Not only are my results beautiful and soft, the procedure was comfortable and I was very at ease. If you’re looking for a great cosmetics team absolutely see Dr. T and his staff you will not be disappointed.

Valerie Valencia

Louisa and the team could not be more caring or attentive. They listen and offer realistic advice and they don’t try to upsell I wouldn’t consider going anywhere else…

Sheila Charton

From the moment I entered the office I was greeted with such warmth. My experience was so amazing with The nurses and Dr Pierre Lapaine. His calm demeanor and expertise, patience, and magical hands!! I went in for Botox and fillers and he was absolutely amazing. I look 10 years younger. I highly recommend Dr Lapaine and Aristocrat. Thankyou Thankyou Thankyou !!

Vimy CHELLARAM

I can’t say enough about Aristocrat Plastic Surgery. From the moment you walk into this beautiful facility you feel special. The staff was so welcoming and friendly and Dr. Tehrani is an expert in his field explaining every step of the way. I wouldn’t go anywhere else for my Botox.

Catherine Ciciola

Dr. Tehrani is hands down one of the best doctors in NYC and him and his team/staff are all AMAZING!! Can’t say enough how happy I am with my results and would recommend me hands down for all your cosmetic procedures!

Karla Barbosa

From my first contact with Kristin, then Katie, followed by Nurse Ksenia’s care, this K-Team was very professional, caring and ALWAYS ready to help. Dr Tehrani’s professionalism, attention to detail, his advanced and original skills (I could list so much more), are what made me choose his clinic. I couldn’t be happier with this beautiful team.

Mary Okon
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What is Capsular Contracture?

Capsular contracture is a condition that primarily affects patients who undergo breast augmentation or breast reconstruction. Capsular Contraction is when the breast implant capsule hardens and causes breast tissue firmness. Breast implants are a foreign object so your body’s natural defense mechanism is to create a thin capsule around the implant for protection. This is completely normal and capsular creation is natural after a breast augmentation procedure. Only when the capsule around the implant becomes infected is when an ASPEN treatment is needed. Capsular contracture in the most severe of cases can be painful and may create misshaped and oddly positioned implants. Early onset of this breast implant capsule deformity can be treated with the ASPEN Rehabilitation System.read more

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Patients who are experiencing symptoms of capsular contracture are first examined by our board-certified plastic surgeon, Dr. Kevin Tehrani. Once Dr. Tehrani diagnoses you with capsular contracture, we will schedule you for 5 sessions of ASPEN rehabilitation breast therapy. During the treatment, our certified medical aesthetician will place the ultrasound ASPEN system on the effected breast tissue. The ASPEN rehabilitation treatment takes approximately 30 minutes and may be repeated 1 week apart. Once the 5 sessions are complete, Dr. Tehrani will examine you again and determine if your capsule has approved. If your capsule condition improves, we will persist with another 5 sessions of ASPEN to completely heal the infected capsule. Here at Aristocrat, we only recommend a max of 10 sessions of ASPEN while under our care. Additional sessions will not improve your capsule condition any better and a capsulectomy may be considered. For patients who have saline implants, frequent breast tissue massages can help to heal capsular contracture after the ASPEN treatment but this is not recommended for patients with textured silicone implants.read more

The ASPEN Treatment

Is EXPAREL Injection Painful?

EXPAREL injections are seemingly painless due to the patient being under anesthesia when the slow-release pain medicine is administrated. Patients who undergo a surgical procedure with speedy recovery EXPAREL will not experience any pain in the surgical site for the first 72 hours after surgery. Most patients experience some mild pain after the initial 72 hour window but the pain level isn’t considered unbearable and most patients return to their normal routine much quicker compared to patients recovering from surgery without speedy recovery EXPAREL injections.

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Meet Dr. Kevin Tehrani, MD FACS

Top plastic surgeon Dr. Kevin Tehrani is the founder and director of Aristocrat Plastic Surgery. He values reaching the highest levels of achievement in reconstructive and plastic surgical training, continuing education and clinical experience. Your comprehensive consultation will be exceedingly informative, clear, balanced and there will be plenty of opportunity to discuss all your concerns.

SIDE EFFECTS

In studies with EXPAREL, the most common side effects were nausea, constipation, and vomiting. These side effects are considered mild and are easily treatable with over-the-counter medicines. IS EXPAREL CLINICALLY PROVEN? EXPAREL is an FDA approved non-opioid pain medicine that has been successfully administered in more than 3 million patients for post-surgical pain control.

  • Promotes the healing of incisions,
  • Prevents infection,
  • Reduces bruising,
  • Lessens post-surgical pain,
  • Reduces swelling,
  • Softens scar tissue,
  • Reduces the appearance of scars,
  • Lessens the tight feeling around incisions,
  • Stimulates cellular and collagen production for speedier healing of scars and bruising,
  • Prevents capsular contracture after breast augmentation,
  • Helps breast implants to maintain proper softness and shape.

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Rehabilitation process

This rehabilitation process is not painful and is an excellent addition to your post-surgical care at Aristocrat Plastic Surgery. It makes recovery easier so that you are back to your normal everyday life as quickly as possible. Contact us today for your consultation for ASPEN rehabilitation after surgery to treat capsular contracture.

  • EXPAREL is administered into the surgical site to produce post-surgical analgesia,
  • DepoFoam® drug delivery system gradually delivers bupivacaine over time to extend the pharmacologic effect of slow-release EXPAREL,
  • EXPAREL significantly diminishes opioid consumption,
  • EXPAREL reduces the need for catheters and pumps that may hinder recovery,
  • EXPAREL has a proven safety and tolerability

Finally, the non-narcotic, post-surgical pain control you have been looking for is here. Ensure a speedy recovery today with EXPAREL.

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Frequently
Asked Questions

A non-surgical treatment using ultrasound and specialized massage to soften and break down scar tissue around breast implants.

Patients with early-stage capsular contracture (tight, hardened scar tissue) seeking to avoid revision surgery.

It varies. Often 4–6 sessions are recommended, depending on the severity of contracture.

It can cause mild discomfort, but most patients tolerate it well. The ultrasound energy helps loosen scar tissue gradually.

Not always. Early intervention can be very effective, but severe contractures may still require surgical correction.

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