Should Sientra HSC textured implants be massaged?
Doctor Answers 16
You do not need to massage textured implants
Your plastic surgeon has given you the right advice. Texture is like a gentle form of velcro and your breast implant capsule needs to form and grow into the textured surface. This helps the collagen fibers in your capsule stay disorganized so that they stay soft and don't contract around the implant. If you massage the implants, you disrupt this process and lose the possible protective benefit of a textured implant. You should discuss this with your plastic surgeon so that you don't get these conflicting instructions.
There are other things that can minimize the risk of developing capsular contracture. Some plastic surgeons use a medication called Montelukast commonly known as Singulair to soften capsules around implants. It is a leukotriene inhibitor, and acts as an anti-inflammatory medication. It is used to treat asthma and seasonal allergies. Though not a lot of research has proven it, many plastic surgeons have a lot of experience using it to soften capsular contracture or to prevent it in patient who starts to feel some tightness. In appropriate candidates, I recommend patients who have capsular contracture take it before revisionary surgery and keep taking it for at least 6 months after surgery. This is an off label use of the medication, and should be used with caution in patients with liver disease. You should discuss with your plastic surgeon if you are a candidate.
Sientra Breast Implants and Massage
I hope that helps.
Sientra Textured Implants and Massage
Because the nurse is familiar with patients with encapsulated smooth breast implants, she knows that those implants need to be massaged. However, she is not a plastic surgeon and is apparently not aware of the no-massage recommendation for textured implants. Because Sientra textured implants have such a low capsular contracture rate, it isn't surprising that she doesn't have experience with this type of implant.
Unfortunately, no breast implant is associated with a zero risk of capsular contracture. Since you are developing another hard capsule, it would be a good idea to see your plastic surgeon again.
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Don't massage textured implants
Implant massage does not prevent capsular contracture
Massage not Recommended for Textured HSC Breast Implants
No, we do not recommend massaging textured breast implants, including textured Sientra breast implants.
To be sure, ask your surgeon specifically.
I hope this helps.
Care for textured Sientra implants
Textured implants are generally not massaged. they are meant to become part of the breast capsule and massaging will disrupt that
Do not "massage" textured implants.
The nurse was no doubt trying to help, but is either misinformed about "massage" and textured implants, or thought you had smooth implants, which would be the majority of implants in use.
If you are beginning to again develop capsular contracture, then you should talk to your surgeon, who may wish to consider Singulair or Accolate therapy (luekotriene inhibitors that may block inflammatory pathways that could be associated with your CC recurrence).
But NO massage or displacement! These maneuvers are simply mechanical movements designed to keep a surgically-larger pocket larger than the implant it encloses. Obviously, this is applicable only for smooth implants.
Let your surgeon know, but don't be too hard on the nurse who was simply trying to help, albeit in misguided fashion. Best wishes! Dr. Tholen