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Understanding Capsular Contracture: Its Risks and Treatments


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Depending upon the severity the breast can feel firm or hard, become distorted, and begin to cause pain

Capsular Contracture - When any implant is inserted the body reacts by forming a lining of tissue around it called the capsule.  In some cases the capsule begins to shrink, squeezing the implant that it surrounds.  Though the exact causes of capsular contracture are largely unknown, there are factors that can contribute to this complication, including: 

  • Germ contamination during implantation
  • Seroma (the development of extra fluid around implant)
  • Hematoma (internal bleeding)
  • Infection
  • Smoking
  • Placement of implant above muscle (when placed bellow the muscle capsular contracture occurs with less frequency)

Depending upon the severity the breast can feel firm or hard, become distorted, and begin to cause pain.  To cure or treat capsular contracture there are both surgical and non-surgical options. 

Non-surgical 

  • Prescribed antibiotics and Vitamin E.  While this is not always effective as a cure, many surgeons will suggest that patients take a regular dose of Vitamin E for the first year after augmentation as it helps to keep tissue soft.
  • Closed capsulotomy.  The breast is forcefully squeezed in the hopes that the capsule pops or tears.  This is not often done because it could cause the implant to rupture and may void the manufacturer's warranty.
  • External Ultrasound.  May help reduce swelling and inflammation and does not involve any major risks.
  • Accolate.  This anti-inflammatory used in the treatment of asthma has shown, in minor studies, to help regress capsular contracture.  This is a relatively new and experimental treatment with no long-term statistical data.

 

Surgical

  • Open capsulotomy.  The capsule surrounding the implant is surgically cut open in order to release the implant.  After this is done, however, there is a chance of contracture occurring again.
  • Open capsulectomy.  This is generally the most successful, as well as the most intensive, form of treatment.  The entire capsule is removed, allowing new tissue to form around the implant.  In some cases, surgeons will change the implant placement: for example if the implant is placed above the muscle the surgeon may place it underneath the muscle during capsulectomy in the hopes of better results.

With capsular contracture of
both breasts

  

After revision surgery Performed by Dr. Michael Ciaravino

Published: 03/17/2005, Last Updated: 02/25/2009

By LocateADoc.com Staff Writers

Our writers strive to present an objective, upfront and open view of the medical procedures you're interested in. We present you with both the good and bad, and work to represent both doctors' and patients' points of view. Our articles contain facts and statistics obtained from medical associations, medical and surgical journals, and through doctor and patient interviews. Photos used with permission of Dr. Ciaravino and respective patient.





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