can a doctor take to prevent capsular contraction with a high risk patient for cc? (I have had several cc.) Are there doctors who have a very low incident rate of cc due to the way they medically treat the patient before, during and after surgery? I am considering one last try at this, but am very unsure. Currently have no implants in to allow my body to heal. I have very little of my own breast tissue and my chest is caved in from 20+ years of implant use.
Answer: Capsular contracture I would have to agree with most of the comments made previously. No matter what is done during surgery, this is a biological process and no once can ever predict the outcome or necessarily prevent capsular contracture. It is a highly controversial topic for which we still have many unanswered questions. As stated, the two most popular theories relate to either: blood around the implant low grade bacterial contamination around the implant, called a biofilm In the first case doing all you can do to minimize bleeding requires: meticulous control of bleeding during surgery some surgeons feel it is best performed with a bipolar cautery but this is not proven limited/controlled postoperative activity avoidance of aspirin, etc. ice compresses some feel compression is useful In regards to the second, options to potentially minimize biofilm include: Perioperative antibiotics Triple antibiotic irrigation during surgery Multiple glove changes Use of a nipple shield, tegaderm, and insert sleeve during surgery The use of silicone vs saline implants is controversial in regards to capsular contracture. Placement under the muscle seems to be correlated with lower capsular contracture Placement throught the breast crease is believed to be the source with the least potential of contamination Postoperatively: options include:: Breast implant displacement excercises The use of accolate is controversial The use of Vitamin E is generally felt to be of little benefit In cases of recurrent capsular contracture at the time of implant exchange it is probably best to perform a complete capsulectomy (not partial or capsulotomy) and use a completely new implant.
Helpful 55 people found this helpful
Answer: Capsular contracture I would have to agree with most of the comments made previously. No matter what is done during surgery, this is a biological process and no once can ever predict the outcome or necessarily prevent capsular contracture. It is a highly controversial topic for which we still have many unanswered questions. As stated, the two most popular theories relate to either: blood around the implant low grade bacterial contamination around the implant, called a biofilm In the first case doing all you can do to minimize bleeding requires: meticulous control of bleeding during surgery some surgeons feel it is best performed with a bipolar cautery but this is not proven limited/controlled postoperative activity avoidance of aspirin, etc. ice compresses some feel compression is useful In regards to the second, options to potentially minimize biofilm include: Perioperative antibiotics Triple antibiotic irrigation during surgery Multiple glove changes Use of a nipple shield, tegaderm, and insert sleeve during surgery The use of silicone vs saline implants is controversial in regards to capsular contracture. Placement under the muscle seems to be correlated with lower capsular contracture Placement throught the breast crease is believed to be the source with the least potential of contamination Postoperatively: options include:: Breast implant displacement excercises The use of accolate is controversial The use of Vitamin E is generally felt to be of little benefit In cases of recurrent capsular contracture at the time of implant exchange it is probably best to perform a complete capsulectomy (not partial or capsulotomy) and use a completely new implant.
Helpful 55 people found this helpful
Answer: Best Ways Pre and Post Surgery to Avoid Capsular Contracture Capsular contracture may recur regardless of surgeries being performed at this time and may require additional surgeries. There is as much as a 40% chance that additional surgery will be needed following this operation. Nicotine users, such as smokers, have up to a 30 times increased #risk of capsular contracture. The #reason capsular contraction happen is unclear. It's possibly caused by microscopic bacteria on the implant, a collection of blood after surgery or perhaps it is a tendency for some women to form scar tissue. What we do know is that is cases reported have decreased from 25% to 5-10% or less. One way to attempt the prevention of it is to follow your surgeon's post op instructions as recommended and ask questions of your surgeon when healing concerns arise.
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Answer: Best Ways Pre and Post Surgery to Avoid Capsular Contracture Capsular contracture may recur regardless of surgeries being performed at this time and may require additional surgeries. There is as much as a 40% chance that additional surgery will be needed following this operation. Nicotine users, such as smokers, have up to a 30 times increased #risk of capsular contracture. The #reason capsular contraction happen is unclear. It's possibly caused by microscopic bacteria on the implant, a collection of blood after surgery or perhaps it is a tendency for some women to form scar tissue. What we do know is that is cases reported have decreased from 25% to 5-10% or less. One way to attempt the prevention of it is to follow your surgeon's post op instructions as recommended and ask questions of your surgeon when healing concerns arise.
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December 30, 2016
Answer: Best ways to prevent Capsular contracture before and after breast augmentation. That is a great question. Yes there are surgical techniques that lead to a very low rate of capsular contracture. The most accepted cause of capsular contracture is Biofilm- bacteria gets on your implant and walls itself off so the body can't fight it- like Tartar on your teeth that the dentist has to scrape off. So strategies that prevent bacteria from getting to your implant during and after your surgery are important, in my opinion. The best treatment is prevention and starts before the first implant. Established contracture is more difficult to treat and I agree with leaving the implants out for at least 3 months. There is a video in "A thoughtful patient's guide to plastic surgery" that explains capsular contracture and methods to prevent it that you might find helpful.
Helpful 1 person found this helpful
December 30, 2016
Answer: Best ways to prevent Capsular contracture before and after breast augmentation. That is a great question. Yes there are surgical techniques that lead to a very low rate of capsular contracture. The most accepted cause of capsular contracture is Biofilm- bacteria gets on your implant and walls itself off so the body can't fight it- like Tartar on your teeth that the dentist has to scrape off. So strategies that prevent bacteria from getting to your implant during and after your surgery are important, in my opinion. The best treatment is prevention and starts before the first implant. Established contracture is more difficult to treat and I agree with leaving the implants out for at least 3 months. There is a video in "A thoughtful patient's guide to plastic surgery" that explains capsular contracture and methods to prevent it that you might find helpful.
Helpful 1 person found this helpful
June 10, 2016
Answer: Can you prevent capsular contracture? There are things that the surgeon can do to reduce the risk of capsular contracture, but in medicine we cannot 100% guarantee that you will not experience capsular contracture. In your case, with a history of capsular contracture, your risk may be higher just due to your body's wound healing biology. To help prevent recurrent capsular contracture, one can use pre and post op singulair for 3 months or use an ADM in the pocket (i.e. alloderm, strattice). While this is not 100% preventive, it may help reduce the chances as much as possible.You should be sure your surgeon is well-experienced in not only treating patients with capsular contracture, but also using the most advanced techniques available that we know mitigate the risks of capsular contracture. First, the surgeon should make sure everything is very sterile and antibiotics are used to reduce the chances of an infection. Second, you want to go to a surgeon who uses an advanced technique that minimizes the amount of bleeding during surgery. Best of luck!
Helpful 1 person found this helpful
June 10, 2016
Answer: Can you prevent capsular contracture? There are things that the surgeon can do to reduce the risk of capsular contracture, but in medicine we cannot 100% guarantee that you will not experience capsular contracture. In your case, with a history of capsular contracture, your risk may be higher just due to your body's wound healing biology. To help prevent recurrent capsular contracture, one can use pre and post op singulair for 3 months or use an ADM in the pocket (i.e. alloderm, strattice). While this is not 100% preventive, it may help reduce the chances as much as possible.You should be sure your surgeon is well-experienced in not only treating patients with capsular contracture, but also using the most advanced techniques available that we know mitigate the risks of capsular contracture. First, the surgeon should make sure everything is very sterile and antibiotics are used to reduce the chances of an infection. Second, you want to go to a surgeon who uses an advanced technique that minimizes the amount of bleeding during surgery. Best of luck!
Helpful 1 person found this helpful
November 21, 2018
Answer: Understanding Capsular Contracture Capsular contracture is one of the most difficult problems seen following breast augmentation surgery. For this reason every effort should be made to avoid this complication before it occurs. Even when these efforts are made capsular contracture may still occur because of wound healing biology.Several steps can be taken at the time of surgery to minimize the potential for this complication. These include submuscular implant placement, avoidance of large implants, meticulous hemostasis, and avoidance of infection and biofilm formation.Following surgery, most surgeons recommend implant displacement exercises. When early signs of capsular contracture are noted, some surgeons start their patients on a course of vitamin E or Singulair. Many surgeons feel that these maneuvers are helpful, but no scientific evidence is available to support their use.Despite these efforts, capsular contracture may still occur. If capsular contractures occur and don’t respond to conservative management surgical intervention may be necessary.If you have a history of capsular contracture, it’s important to discuss the management of this problem with your plastic surgeon prior to surgery. Your surgeon should be able to formulate a treatment plant that minimizes the potential for this complication.
Helpful 3 people found this helpful
November 21, 2018
Answer: Understanding Capsular Contracture Capsular contracture is one of the most difficult problems seen following breast augmentation surgery. For this reason every effort should be made to avoid this complication before it occurs. Even when these efforts are made capsular contracture may still occur because of wound healing biology.Several steps can be taken at the time of surgery to minimize the potential for this complication. These include submuscular implant placement, avoidance of large implants, meticulous hemostasis, and avoidance of infection and biofilm formation.Following surgery, most surgeons recommend implant displacement exercises. When early signs of capsular contracture are noted, some surgeons start their patients on a course of vitamin E or Singulair. Many surgeons feel that these maneuvers are helpful, but no scientific evidence is available to support their use.Despite these efforts, capsular contracture may still occur. If capsular contractures occur and don’t respond to conservative management surgical intervention may be necessary.If you have a history of capsular contracture, it’s important to discuss the management of this problem with your plastic surgeon prior to surgery. Your surgeon should be able to formulate a treatment plant that minimizes the potential for this complication.
Helpful 3 people found this helpful
October 1, 2017
Answer: Best ways pre and post surgery to prevent capsular contracture? Hello! Thank you for your question! Recurrent capsular contracture is a very difficult problem. Assuming you tried conservative measures in the past - implant massage and may add the medication Singulair and Vitamin E. If these fail, surgical correction may be necessary. It is a matter of surgeon preference as well as what is seen during your procedure that will determine whether or not a complete capsulectomy is performed. If significant capsule formation is seen intraoperatively, a full capule removal may be warranted with a drain in order to completely remove all of the tissue and allow better adherence of your breast back to its normal anatomic position down on your chest wall. Irrigating with certain medications may also be if benefit. Some other things that may have been tried include changing the position of your implant, addition of a dermal matrix, or consideration for the the shaped, textured, anatomical gel implants. Without knowing your issues and without an examination, it is difficult to tell you what may be the best thing for you. I tend to favor performing capsulectomies in order to create a fresh pocket, reshape the pocket, allow better shape and adherence of the overlying breast. I would discuss your issues with your plastic surgeon who will assist you in determining the right modality for you. At a 3rd recurrence, it may continue to occur despite all of these modalities and consideration for explantation or living with the contracture are options. Hope that this helps! Best wishes!
Helpful 1 person found this helpful
October 1, 2017
Answer: Best ways pre and post surgery to prevent capsular contracture? Hello! Thank you for your question! Recurrent capsular contracture is a very difficult problem. Assuming you tried conservative measures in the past - implant massage and may add the medication Singulair and Vitamin E. If these fail, surgical correction may be necessary. It is a matter of surgeon preference as well as what is seen during your procedure that will determine whether or not a complete capsulectomy is performed. If significant capsule formation is seen intraoperatively, a full capule removal may be warranted with a drain in order to completely remove all of the tissue and allow better adherence of your breast back to its normal anatomic position down on your chest wall. Irrigating with certain medications may also be if benefit. Some other things that may have been tried include changing the position of your implant, addition of a dermal matrix, or consideration for the the shaped, textured, anatomical gel implants. Without knowing your issues and without an examination, it is difficult to tell you what may be the best thing for you. I tend to favor performing capsulectomies in order to create a fresh pocket, reshape the pocket, allow better shape and adherence of the overlying breast. I would discuss your issues with your plastic surgeon who will assist you in determining the right modality for you. At a 3rd recurrence, it may continue to occur despite all of these modalities and consideration for explantation or living with the contracture are options. Hope that this helps! Best wishes!
Helpful 1 person found this helpful