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Breast implantS GONE WRONG

Trust Top Beverly Hills Plastic Surgery Team For Breast Implants Gone Wrong

Have Your Breast Implants Gone Wrong?

Problems with breast implants gone wrong can range from discomfort to a disfigured appearance. When breast implant problems affect your health, self-esteem, or lifestyle you should not have to live with these issues. Cassileth’s team of plastic surgeons have the training, skill, and advanced technology to repair and correct your breasts into the breasts you have always wanted.

Correct Breast Implant Placement

If your breast implants feel increasingly firm, or have moved from their original position, it’s not just uncomfortable, it’s a condition known as capsular contracture. Capsular contracture occurs in about 26.9% of breast implant cases. Capsular contracture will not resolve by itself or improve over time. Instead, it can become worse, causing one or both of your breasts to become deformed in appearance, and cause you pain. Capsular contracture is ranked from mild, where the breast feels slightly firm, to severe, where the breast is pulled upward and feels very hard. Cassileth Plastic Surgery has developed a treatment plan for women suffering from hard breast implants caused by capsular contracture that has an excellent success rate.

CORRECT RUPTURED OR LEAKING BREAST IMPLANT

Breast implants gone wrong can also stem from rupture or leakage. New symptoms of rupture of your implants are hardening, soreness, or firm spots next to your breast implant and may all be signs of leaking silicone implants. It is also important to know that often there are no symptoms for ruptured implants, the rupture will only be discovered during a routine mammogram or ultrasound, and are best diagnosed with MRI. Regardless of the reaction each patient has to the rupture, for this type of breast implant revision, Cassileth’s team of plastic surgeons will remove ruptured implants and the capsules surrounding them to extract all free silicone, called capsulectomy.

CORRECT HARD BREAST IMPLANTS

If your breast implants feel increasingly firm, or have moved from their original position, it’s not just uncomfortable, it’s a condition known as capsular contracture. Capsular contracture occurs in about 26.9% of breast implants cases.* Capsular contracture will not resolve by itself or improve over time. Instead, it can become worse, causing one or both of your breasts to become deformed in appearance, and cause you pain. Capsular contracture is ranked from mild, where the breast feels slightly firm, to severe, where the breast is pulled upward and feels very hard.

HOW DID IT HAPPEN?
A “capsule” is the body’s natural response to a foreign object of any kind. It is a scar tissue that forms around the implant. The body forms a thin, possibly even transparent capsule around your breast implant. How extensive, strong or thick that capsule is depends on several factors, but most importantly on your own genetics and on the degree to which bacteria may be present when the implant is put in the body. When you have a capsular contracture, the capsule surrounding your breast implant has become dense. This is because your body is producing extra collagen from the inflammation which causes fibrosis (the thickening and scarring of connective tissue).

Why does that happen in some patients and not others, and sometimes in one breast and not the other? 

1. It may be your genetic makeup. Just as some patients form thicker scars, some patients form thicker capsules. Certain surgical factors, like formation of a fluid collection around the implant from the initial surgery, or multiple correctional procedures, may make the body react more severely as it forms the capsule and can increase the likelihood of contracture.

2. Many patients with capsular contracture are diagnosed with a low-grade bacterial contamination of the implant. This can be determined by taking a culture during your revision surgery.

3. Your body may be reacting to free silicone – silicone that has leaked out of the implant. Free silicone creates a hotbed for inflammation, causing the capsule to thicken as your body attempts to further “wall off” the problem. In these cases, there is overproduction of collagen which compounds and hardens, the capsule tightens and squeezes the implant. The implant then feels hard and can move upwards or sideways.

HOW CAN IT BE FIXED?
You will need surgery to correct this condition. Cassileth Plastic Surgery has developed a treatment plan for women suffering from hard breast implants caused by capsular contracture that has an excellent success rate. The capsular contraction treatment plan involves treating each aspect of the problem.

First, the implant and the entire capsule is removed, known as a capsulectomy. If free silicone is present, all intracapsular (inside of the capsule) and extracapsular (outside of the capsule) silicone is completely removed. The capsule is then sent to a microbiology lab, where we have found that almost 50% of patients have a positive culture result, usually growing strep bacteria.

The now clean and empty cavity is aggressively decontaminated with pulsed antibiotic irrigation – a high flow system designed to remove and minimize bacterial contamination of the tissue. An internal bra, made up of the pectoral muscle, and acellular dermal matrix (substance to supplement your own tissues to better cover/support implant), is then used to completely cover the new implant. This internal bra is dynamic, soft, and effective, protecting the implant from future scar tissue contraction.

This same surgical method is also successful for breast reconstruction after mastectomy and in patients who have had multiple prior surgeries for capsular contracture. 

*Dancey A, Nassimizadeh A, Levick P . J Plast Reconstr Aesthet Surg. “Capsular contracture – What are the risk factors? A 14 year series of 1400 consecutive augmentations”

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BREAST SPECIALIST

Board Certified Beverly Hills Plastic Surgeon, Breast Specialist, and Direct-To-Implant Breast Reconstruction Inventor 

BREAST SPECIALIST

Double-Board Certified Beverly Hills Plastic Surgeon and Breast & Body Specialist