Capsular contracture in breast augmentation - how can you reduce the risk?
Doctor Answers 3
Reducing the risk of capsular contracture
1. Place the implant behind the muscle. Shown in multiple studies to reduce CC.
2. Use a crease (inframammary) incision. Shown in at least 3 recent studies to have less CC than nipple or transaxillary incisions.
3. Wash the pocket with either betadine or an antibiotic-containing solution.
4. Use the Keller funnel to place the implant (Shown in one study to reduce CC by 50%)
5. Use the no-touch technique of implant placement.
6. Consider adjunctive medications post-op (e.g. Singulair).
7. Use meticulous hemostasis, to avoid post-op hematomas.
8. Use techniques to reduce the infection rate - which can cause CC.
Capsular contracture - how to reduce the risk?
- A good question - with no easy answer.
- We can form capsular contractures around any implant in our body.
- The common feature seems to be some kind of irritation of the tissues around the implant.
- Bacteria, rough handling of tissues, handling the implant, implants over the muscle, gel implants all have a higher than average risk of causing a contracture.
- So does sleeping in a position in which you hug an implanted breast.
- We suspect that chronic infections (sinusitis, bacberial vaginosis, infected teeth.) increase the risk of CC.
- But often we don't know the reason -
- We do know the risk of a CC is 5% every year that you have the implant.
- We do know that if a severe CC forms, removing the implant and capsule entirely, placing acellular dermal material over a new, smaller implant in a new position is the best surgery we have to solve the problem. .
Always see a Board Certified Plastic Surgeon.
Best wishes - Elizabeth Morgan MD PHD FACS
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