Breast implant revision complications - will having more than one revision increase the risk of capsular contracture?

Question

Hello , I want to kindly ask , does having more than one breast implant revision increases chance of capsular contracture? I had two revisions second was made recently 8 months ago not happy with size and shape I want new implants but afraid of this issue can capsular contracture not happen or is there ways to prevent it? It’s under muscle implants Thankyou

Connie Hiers, MD, FACS · Answer

If the capsule if not altered much, your risks are less than with the original surgery. Since you have had two surgeries and are still not happy, ask yourself why not. Please do not chose a size that is too large and heavy for your frame and tissue.

Mats Hagstrom, MD (license on probation) · Answer

The formation of capsular contraction is fairly complex, and not always well understood.
There are a few variables that seem to correlate with this condition.
One is when there is a significant amount of blood around the implant.
This seems to cause increased inflammation they can increase the risk of capsular contraction.
 a second reason for cap or contraction, which is more likely if individuals have recurrence of capsular contraction again and again is ation with a slow growing bacteria called Staphylococcus epidermidis. The bacteria is slow, growing, creates what is sometimes called a biofilm, cannot be treated with antibiotics and cannot be detected with regular bacterial culture.
Each time someone has surgery there is a risk of contamination with bacteria that can cause acute postoperative infections as well as this non-virulent, slow, growing bacteria that can trigger capsular contraction.
We don’t really know the incident of the bacteria, causing capsular contraction because it’s very difficult to diagnose and the contamination once it’s established cannot be treated.
It is sometimes assumed to be the culprit on individuals who have continuously recurrent capsular contractions.
It is most likely not the corporate if a patient responds to capsulectomy without recurrent capsular contraction.
Quality breast augmentation outcomes are typically based on three variables.
The first is the patient candidacy for the procedure.
The second is the choice of implants in regards to size shape and type.
The third variable is the surgeons ability to place the implant in the correct anatomic position.
 When patients are unhappy with the outcome, it can usually be traced back to one or more of these variables.
Not everybody seeking breast augmentation is an ideal candidate for the procedure.
A patient who is an excellent candidate for breast augmentation has the potential of having excellent outcomes if they are in the hands of an excellent provider.
We can also have poor outcomes in the hands of less talented or experiences surgeon.
A patient was not a Good candidate for breast documentation does not have the potential for having quality outcome. Regardless of who does the procedure.
Implant selection is very important and different plastic surgeons will have different ways of guiding patients through implant selection.
Some plastic surgeons do this better than others.
Working with excessively large implants increases the chance of undesirable, side effects, complications, and the need for revision surgery.The surgeons ability to put the implant in the correct position is also an important part of high-quality outcomes.
This means not having implants that sit too high or eventually bottom out.
In general patients should avoid having revision surgery, unless it is in order to obtain a significant improvement.
Making quality decisions before having surgery can help minimize the chance of having revisions.
This means correctly selecting providers and correctly selecting implant choice.
It’s also very important for patients to understand their own candidacy since this will inherently Determine what the procedure can, and cannot accomplish regardless of who does the surgery.
Each time you have surgery exposes patients to potential complications.
Generally speaking, the more revisions, someone has had the more complex and difficult the case becomes, and the chance of having high-quality outcome generally decreases based on how many previous revisions this patient
There are a lot of variables to take in the consideration, and there is no absolute yes, or no answer.
Each case needs to be assessed individually.
My best recommendation is for patients to put more emphasis on provider selection then they may think necessary to avoid the temptation of using excessively large implants if possible.
Best,
Mats Hagstrom, MD

Breast implant revision complications - will having more than one revision increase the risk of capsular contracture?

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