CAPSULAR CONTRACTURE treatment
Capsular Contracture treatment & Repair In los angeles, ca
WHAT IS CAPSULAR CONTRACTURE?
Capsular Contracture is a hardening and thickening of the natural tissue surrounding a breast implant, which causes the breast to become distorted or feel painful and hard. A capsule is the thin, normal tissue surrounding a breast implant formed by the body. In capsular contracture, the capsule thickens and tightens. signs of capsular contracture are: the implant moved to a higher position on the chest, the breast is tight and round, like a baseball, or if the implant feels firm and or painful. Traditional methods of capsular contracture repair often result in recurrence. Our surgeons have created a technique with a success rate of over 95%.
One of the most common complications from breast augmentation is capsular contracture or capsular contraction, a condition that results in distorted and sometimes even painful, hard breasts. Read on to learn more about the signs of capsular contracture, your capsular contracture treatment options and Cassileth Plastic Surgery’s innovative technique which permanently handles this condition.
A capsule is the normal tissue that the body produces surrounding a breast implant. Usually, it is pretty thin, sometimes almost transparent. The capsule is larger than the implant, allowing them both to move around and feel soft. In capsular contracture, the capsule becomes thicker and tightens which makes the space for the implant smaller and smaller. Some Signs of capsular contracture can be the implant rising to a higher position on the chest or the breast looking oddly constricted and artificially round, like a baseball. The capsule can get so small that the implant feels firm (grade 3 capsular contracture) or can even feel hard and be painful (grade 4 capsular contracture).
Studies show that up to 26.9% of women who receive breast implant surgery will develop Capsular Contracture.
REMOVAL OF THE IMPLANT AND CAPSULE
During the capsular contracture surgery, our doctors then carefully remove the complete capsule, including any fluid around the implant, granulation or inflammatory tissue within the capsule, or free-floating silicone, which can sometimes leak from a ruptured implant. Next our doctors use an antibiotic power wash to combat potential sources of inflammation that may be responsible for causing contracture. Finally, an anti-bacterial solution is left within the breast, to complete the sterilization process.
CREATING THE ADM INTERNAL BRA
Once the implant and capsule have been removed, our doctors create an internal bra with acellular dermal matrix (ADM), a biomaterial sheeting, which resists contracture and provides a protective layer between the breast and the implant. The ADM allows the body’s natural reaction to occur a healthy capsule can form and fuse with the ADM, keeping the pocket soft and pliable. It also supports the implants and keeps your breasts in the ideal shape and position.
TREATING ANY INFECTION
After your procedure, you will be kept on antibiotics until the test results are received. If bacteria growth is present, we will send you for a consult with an Infectious Disease specialist. You will begin a course of antibiotics tailored to the results of your microbiology tests. If your results are negative (no infection), you will undergo a shorter course of prophylactic antibiotics.
GRADES OF CAPSULAR CONTRACTURE
Grade I — the breast is normally soft and appears natural in size and shape
Grade II — the breast is a little firm, but appears normal
Grade III — the breast is firm and appears abnormal
Grade IV — the breast is hard, painful to the touch, and appears abnormal
PREVENTING CAPSULAR CONTRACTURE FROM REOCCURRING
Cassileth Plastic Surgery has created a plan to help prevent recurrence of capsular contracture:
Use an Acellular Dermal Matrix to prevent recapsulization from occurring
Treat the infection
Removal of the infected implant and capsule
During surgery, our doctors take a small sample, also called a biopsy, of the capsule, which is sent to a lab to test for bacteria and fungus. Our doctors then carefully remove the complete capsule, including any free-floating silicone which can sometimes leak from a ruptured implant. Next our doctors use an antibiotic power wash to combat potential sources of inflammation that may be responsible for causing capsular contracture.
CAPSULAR CONTRACTURE TREATMENT RESULTS
Our doctors insist that all patients undergo a six-month scar treatment regimen after your surgery to minimize all scars. During the healing period, the breasts often have tight or small lumpy areas where the internal sutures are located. This is common and is most prominent 4-8 weeks after surgery. These sutures are absorbable and any lumps caused by them will resolve. Your breasts need up to 6 months to fully heal and take their final shape. Our team will discuss with you what kind of support and activity you will need during this time.