A capsulectomy is a surgical procedure that is performed to completely remove the scar tissue surrounding a breast implant.
However, just because the capsule is removed in its entirety does not mean that it will not recur. This is why Dr Motykie has developed specific protocols in order to help decrease the risk of capsular contracture recurrence.
Dr Motykie has found that it is extremely important to evaluate every patient on an individual basis in order to determine the probable cause of the capsular contracture in order to reduce the risk of recurrence in each specific case. Most of the time, with longstanding capsular contracture, Dr Motykie recommends removal and replacement of your breast implants at the same time as your scar tissue release.
After corrective surgery has been performed, Dr Motykie has learned that a combination of post-operative preventive modalities appears to work the best in combating capsular contracture. Therefore, Dr Motykie usually recommends a combination of modalities in capsular contracture corrective surgery that includes compression therapy to reduce post-operative swelling and inflammation, possible placement of a drainage tube to remove any inflammatory fluid form the breast implant pocket during recovery, prophylactic use of Accolate or Singuliar, an aggressive post-operative breast massage routine, prescription of anti-inflammatory medications and possible placement of dermal material such as Alloderm or Belladerm in order to help camouflage the presence of the implant.
To find out more about breast surgery please contact us at Contact Us Location. We also teach breast implant massage, which gently displaces the implant upward in its pocket to ensure that the space created during the breast augmentation surgery stays open.
To learn more about this technique, check out our video on implant massage. So, what happens if capsular contracture does occur? Check your inbox or spam folder to confirm your subscription. Back To Homepage. Karen M. Horton's Blog About Dr. Horton 70 Dr. Use intravenous antibiotic prophylaxis at the time of anaesthetic induction Avoid peri-areolar incisions Use nipple shields to prevent spillage of bacteria into the pocket Perform careful atraumatic dissection to minimize devascularised tissue Perform careful hemostasis Avoid dissection into the breast parenchyma.
A dual-plane pocket has anatomic advantages Perform pocket irrigation with correct proven triple antibiotic solution or betadine Minimise skin-implant contamination Minimise the time of implant opening, reposition and replacement of implant Change surgical gloves prior to handling the implant.
Use clean or new instruments that were not used in the pocket dissection Avoid using a drainage tube, where possible Use a layered closure Use antibiotic prophylaxis to cover subsequent dental or surgical procedures that produce bacteremia, and have lifelong follow-up 5. How is Capsular Contracture Diagnosed? Capsular contracture can be graded on severity by the Baker Scale: Grade I - the breast is soft and appears normal, and the capsule is flexible. Grade II - the breast looks normal, but is somewhat hard to the touch.
Grade III - the breast is hard, has some distortion caused by contracture, or the breast becomes a rounded shape, or the implant is generally tilted upwards Grade IV - similar to grade III but with greater hardening of the capsule and is associated with pain. What can I do to avoid capsular contracture? Take it easy doing physical activities and avoid injury or impact to the breast. The implant needs time to settle into place, so don't jostle, squeeze, or strike the surgical site at all.
Massage your breast implants regularly once healed, ask your surgeon for instructions. Attend regular breast implant checks with your surgeon yearly. If you know that you'll be having chest wall radiation after your mastectomy, consider delaying implant surgery until treatments are completed. Radiation following immediate construction is associated with a greater risk of reconstructive failure, and other complications including infections, and capsular contracture, so waiting may be well worth your time.
How is capsular contracture treated? Talk to your surgeon about your options. Subscribe via RSS. Of course, complications during plastic surgery are now very rare, both because of advances in surgical techniques and because we've gotten better at predicting which patients are likely to experience surgical complications. Patients who are prone to developing thick scar tissue may be advised to avoid having plastic surgery, or their surgeon will use special surgical techniques that allow incisions to be placed remotely e.
Patients who have compromised immune systems or autoimmune diseases are often advised to forego surgery and choose less invasive forms of cosmetic enhancement. Likewise, there are a number of procedures that can be used after surgery, such as the Aspen Rehabilitation Technique, in order to treat complications and improve the patient's appearance.
One of the most common areas where Aspen is used is in the treatment of capsular contracture after breast augmentation surgery. The formation of a "capsule" of scar tissue around any kind of implant medical or cosmetic is a normal part of the healing process.
The body automatically reacts to any foreign object it detects within it and attempts to isolate said object by creating a barrier of scar tissue around it.
In the case of breast implants, this is usually a good thing — the capsule helps to keep the breast implants in place, preventing slippage. In some patients, however, this capsule of scar tissue becomes unusually hard and starts to contract around the implant.
This can lead to both aesthetic problems and, in extreme cases, pain in the breasts. Research shows that about one in six breast augmentation patients experience some degree of capsular contracture, though not all cases present with obvious symptoms. The severity of capsular contracture is rated using a grading system:. Generally, capsular contracture occurs during the healing process. Sometimes capsular contractures occur many years after breast augmentation surgery, but this is the exception rather than the rule.
Ruptured implants are the most common cause of late-onset capsular contraction. Clinicians have a number of theories on what causes capsular contracture, and it's likely that the exact causes of this condition vary from patient to patient.
As a breast augmentation patient, it's important to understand that this condition is not caused by breast implants being in any way toxic or dangerous. Saline implants contain only saline solution, which can be safely reabsorbed by the body with no ill effects, and silicone gel implants are made of medically inert silicone. Indeed, capsular contracture can happen after any kind of medical implant is inserted into the body; the condition is not unique to breast augmentation surgery.
Capsular contracture is just particularly troubling when it occurs after breast augmentation because it often alters the appearance of the breasts, thereby jeopardizing the aesthetic improvements that the patient had surgery to create. Capsular contracture is not usually dangerous to the patient's health unless her implants have ruptured in the case of gel implants, rupture can sometimes lead to infection.
Researchers believe genetics play a role in who develops capsular contraction and who does not. If you have a family history of autoimmune disease or you have relatives who frequently develop thick scar tissue after injury or who have had difficulties with medical implants , then you may have a slightly heightened risk of developing this condition.
However, it's impossible to accurately predict who will develop a "random" case of capsular contracture i. Because capsular contracture is highly treatable, you shouldn't let a fear of developing this condition hold you back from getting breast augmentation surgery.
Sometimes, capsular contracture is caused by something other than the patient's own body reacting poorly to the presence of breast implants.
In addition to implant ruptures, it is now believed that something called "biofilm" often leads to the development of this condition. Biofilm is a thin layer of bacteria that develops around implants after a type of bacteria often staph bacteria is introduced to the breast cavity during surgery. This bacterium causes a kind of chronic, low-grade infection that may not produce noticeable symptoms such as fever or severe fatigue.
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