How to reduce the risk of capsular contracture?
Doctor Answers 5
How to reduce the risk of capsule contracture?
I encourage all of my patients to avoid blood thinners leading up to and for at least one month after surgery. I commence massage exercises in the hope that preventing and resisting tightening of the pocket will reduce the incidence of capsule contracture but it is debatable whether this is truly of benefit. I personally believe it is rather important to have my patients avoid physical use of their upper extremities since all of my implants are placed in a subpectoral position and there is a risk of bleeding from tearing of the muscle before it has healed at six weeks after surgery. Consequently, I encourage my patients to avoid lifting, pushing or pulling anything that would require force greater than that required to lift a pillow or towel for the first two weeks. For weeks three through six I ask my patients to avoid forceful use of greater than 2 to 5 pounds. It is the incidental and unexpected use of the arms that can lead to problems such as when opening a refrigerator door, grabbing a locked car door or pushing out of a chair as one gets up. Planning for this in advance is helpful and I think beneficial.Intraoperatively I have been using a funnel for implant insertion and diluted antiseptic solution to bathe the pocket in a further effort to reduce the incidence of capsule contracture.
The odds are in your favor of achieving a nice soft and natural result so do not over worry. I am sure you are in good hands with a board-certified plastic surgeon performing your procedure.
Jon A Perlman M.D., FACS
Diplomate, American Board of Plastic Surgery
Member, American Society for Aesthetic Plastic Surgery (ASAPS)
ABC-TV Extreme Makeover Surgeon
Beverly Hills, California
Reducing the risk of capsular contracture
Thank you for your question.This is a good question and unfortunately one that we can not answer with good scientific data. There is some weak evidence to suggest that the use of a insertion device can decrease capsular contracture. Various implant soaking or rinsing solutions have been described and again there is weak evidence for their use. Some surgeons swear by post operative massage, for round implants. I wouldn't massage shaped or anatomic device for fear of malposition. There is also some weak evidence for singulair, ultrasound, vitamin E among other things. There is also some weak evidence on where the implant is placed or whether it is textured or smooth. I would suggest addressing your concerns with your surgeon and candidly ask what strategies they use to minimize capsular contracture.From your standpoint what you can do to decrease the risk is to follow all your surgeon's pre and post operative instructions.Best Dr. L
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Minimizing capsular contracure
Thank you for your question. It is important for you to consult with your surgeon about any questions or concerns you may have seeing as they know your medical history, anatomy and surgery best and every surgeon has slightly different post-operative protocols. Regular breast massage and taking Vitamin E supplements can help prevent a capsular contracture from occurring and your surgeon may prescribe you Singulair if you do develop one. I hope this helps.
Best of luck in your recovery!
James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science
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.