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Best Ways Pre and Post Surgery to Avoid Capsular Contracture?

asked 3 years ago by Miller in los angeles county
Latest answer by Michael Law, MD
Question viewed 4,379 times
Tags: capsular contracture

can a doctor take to prevent capsular contraction with a high risk patient for cc? (I have had several cc.) Are there doctors who have a very low incident rate of cc due to the way they medically treat the patient before, during and after surgery? I am considering one last try at this, but am very unsure. Currently have no implants in to allow my body to heal. I have very little of my own breast tissue and my chest is caved in from 20+ years of implant use.

8 answers to Best Ways Pre and Post Surgery to Avoid Capsular Contracture?

Capsular contracture

I would have to agree with most of the comments made previously. No matter what is done during surgery, this is a biological process and no once can ever predict the outcome or necessarily prevent capsular contracture. It is a highly controversial topic for which we still have many unanswered questions. As stated, the two most popular theories relate to either: blood around the implant low grade bacterial contamination around the implant, called a biofilm In the first case doing all you... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

The risk of capsular contracture can be minimized with good technique.

Hi! Of course, there are no guarantees, but here are some important points: 1) Even a few drops of blood increase the risk, so for you, I would recommend using suction drains to remove every little bit of blood around the implants. 2) Even a few bacteria increase the risk (without having obvious infection). So you should be done with a "super sterile" no-touch technique, antibiotic irrigation of the wounds, and high doses of intravenous antibiotics. 3) Gentle technique that... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Extremely difficult problem with no easy answers but some hope

Capsular contracture is still the number one complication in breast implant related surgery for cosmetic augmentation, revision surgery and reconstruction alike. It also is more likely following a first time contraction. The main theories for CapCon development are blood and fluid in the pocket around the implant and a low grade bacteria or BioFilm that can surround the implant inside the implant pocket or space. At the time of surgery most plastic surgeons do everything possible to... more

Bradley Bengtson MD
Grand Rapids Plastic Surgeon

Capsular Contracture always a risk

Capsular Contracture is always a risk with any breast augmentation, and in your case, given your history, it is likely a higher risk than in the average patient. As the other doctors have written, 2 things we know increase the risk of capsular contracture are blood around the implant or a low grade infection. With this in mind, I think it's important to pick a surgeon who prides him or herself on meticulous techinque, not just fast technique. Given what we know about what increases... more

Shahram Salemy, MD
Seattle Plastic Surgeon

Nothing can guarantee

Some people are just prone to form contractures around the implant, despite optimizing all conditions. Be sure that you do not have any active infections. You may also want to be on preoperative antibiotics that are powerful for skin bacteria, like say augmentin?. You will want to take an antimicrobial shower just before you go to the hospital. Your doctor may hav a few tricks for after surgery, but as I said in the teaser, no guarantees. I feel for you and wish you luck. sek... more

Scott E. Kasden, MD
Dallas Plastic Surgeon

Preventing Capsular Contracture

Because of a number of techniques I use during breast augmentation surgery that are outlined below, I see very few capsular contractures in my breast augmentation patients. However, the reality is that if you are a breast augmentation patient with a capsular contracture, the incidence - at least to you - feels like 100%. A well-established capsular contracture can be corrected, but doing so involves a return to the operating room, removing and discarding the implant, removing or excluding... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

michaellawmd.com

You can't eliminate the risk

If your body has shown a tendancy to multpile capsular contractures, you will probably make more no matter what any doctor does. Proper technique, reasonable implant size, submuscular placement, implant massage, and maybe vitamin E are your best bet but no doctor can eliminate the history you have.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Key points to avoid capsular contracture

Reccurent capsular contraction is a difficult problem to overcome as no surgeon can guarrantee a complete remisssion. The key points are: 1. Complete capsulectomy. 2. Irrigation with a triple antibiotic solution. 3. Submuscular position. 4. Gel implant. 5. Accolate as a medication is controversial due to the side effects. 6. Good surgical technique to avoid bleeding. 7. Early implant massage.

Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon

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