Follow-up Question - Capsular contracture? Possible early sign?
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Doctor Answers 3
Early sign of capsular contracture?
Thank you for your questions. Current FDA recommendations are to have an initial MRI at 3 years following your procedure and every 2 years thereafter to screen for silent rupture. Silent rupture is much less of a concern with the newer generations of more cohesive gel implants, however I definitely recommend yearly follow-ups with your plastic surgeon and, if necessary, mammograms as recommended by the American Cancer Society to screen for overall breast health.
Muscle twitching/spasm 4-5 months after augmentation is not one of the signs that is known to indicate early capsular contracture and is more likely just part of the normal healing process when an implant is inserted under the muscle. If you continue to have concerns, I would encourage you to schedule a follow-up appointment with your plastic surgeon.
Silicone Gel Implants Are Safe
No, you are very very wrong. Rupture silicone gel implants are safe, and don't migrate outside the capsule. You should sit down with your surgeon so that he can review these concepts with you, along with a recommended surveillance schedule. Best of luck!
Leaking silicone will not cause death
with cohesive gel implants, the consistency is somewhat time a really thick blob of jam. It is extremely unlikely to get into your blood stream and travel to your lungs. Even if it does, a tiny amount of silicone in your lungs is no where as bad as smoking a pack of cigarettes. Additionally, your body forms a capsule around the implant within 2 weeks of the implant being placed. This capsule will keep the implant and it's contents contained.
We used to say that you should get an MRI 3 years after placement of implant and then every other year thereafter. That is actually no longer the recommendation because it caused a lot of waste.
Capsular contracture can have various symptoms, but what you describe does not sound like it. Are your breasts hard? Is one side looking drastically different from the other? A small leak in the implant can cause your capsule to calcify and therefore contract over time. Best to see your surgeon for an in person exam
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