Thanks for the great question! Although silicone sheeting does work really well, it tends to get annoying after awhile then patients stop using it. You ideally want to keep it on 24 hours a day for 3 months! I use a liquid version of silicone sheeting called Biocorneum with my patients. They p...
I think you need to strongly consider placement of acellular dermal matrix such as Strattice or its equivalent to help protect you from a recurrent contracture.Implant choice is less of a factor vs sterile technique, pocket placement, and meticulous hemostasis.Your autoimmune condition may play...
The risk of having bacteria/mold in your implants is extremely low and should not cause you to feel you must remove your current implants and replace them as long as everything is going well. The current standard for filling saline implants is to do it through a "closed system", which means a...