Breast Implants: Q&A
Ask a QuestionBest Ways Pre and Post Surgery to Avoid 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.
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8 Doctor Answers |
Asked by
Miller
in los angeles county
+5
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...
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+3
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...
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+3
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...
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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...
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+2
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...
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+1
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...
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+1
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.
+1
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.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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