Concerned About Capsular Contracture Risk

Is it possible to get capsular contracture again and again, despite all efforts? I am 20 years old. I have A cup and I can't even imagine to explant once I am implanted. What are the chances I will only be replacing breast implants and never get CC in my life? If the implants bleed, can this cause CC in the future? Can mouth infection from dental cleaning and chronic tonsilitis cause CC too? If I replace implants every 10 years, do I need to have capsule removed every time with each replacement?

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5 Doctor Answers | Asked by helptoknowplease in Moscow

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Breast implant capsular contracture risks

There are four factors we know lead to capsular contracture: 1. Gel / silicone implants have a higher rate than Saline. 2. Under the muscle placement has a lower rate than over the muscle. 3. Bleeding / bruising postoperatively can lead to higher capsular contracture rate. 4. Infection of the breast implant can lead to contracture. A brief explanation of the above: Silicone gel implants have a higher rate of capsular contracture than saline. The thought is the higher capsular... more

Breast implants, infection, capsular contracture prevention

I have found that textured implants decrease capsular contracture. They are rarely seen in my practice. However, no one can guarantee a certain result. Mouth infection or dental cleaning can lead to implant infection, necessitating removal, so I recommend women with breast implants take prophylactic antibiotics before going to the dentist. No the capsule does not have to be removed if you replace your implants.

Steven Yarinsky, MD

2 reviews

Saratoga Springs Plastic Surgeon

www.yarinsky.com

Capsular contracture

There is a definite risk for a capsular contracture to develop but no one knows for sure why they occur. The statistics support the fact that implants are not a "lifetime" product and sometime down the road you will have at least one more operation.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

VIDEO (Click HERE) Concerned About Capsular Contracture Risk

These are great questions but unfortunately we do not ahve thew answers. Capsular contractures are unpredictable. They can form unilaterally or bilaterally and may occur immedieately or delayed. Yes, they have been reported after dental cleaningss and tattoo, etc. see video

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Capsular contracture risk factors

The historical factors summarized by Drs. Greenberg and Yarinsky are quite right. In addition, the concept of "biofilms" is getting more attention. Infection is usually associated with redness, swelling, heat and pain, however the "biofilm" provides for an infectious cause which occurs without the usual stigmata. One of the US implant manufacturers has a protocol for microbiological analysis of samples of capsule removed at the time of revisional surgery. It is their... more