How Plastic Surgeons Fight Capsular Contracture

How Plastic Surgeons Fight Capsular Contracture

At my Virginia Beach and Hampton Roads-area plastic surgery practice, one of the concerns among my breast augmentation patients is capsular contracture, or a hardening and excess of scar tissue around breast implants. Today there is a combination of techniques that can make this problem very unusual.

Capsular contracture is thought to occur almost always when undetected bacteria enter into the body during breast augmentation surgery. The bacteria are most commonly introduced from the implant coming into contact with skin or breast tissue. Once the bacteria are present, the body reacts by producing increased collagen fibers that restrict space around the implant and squeeze down on it. This results in breasts that are hard and distorted in shape.

Skilled surgeons understand that the best way to avoid capsular contracture is by implementing several precautionary measures and utilizing a very careful and sterile technique. With my breast augmentation patients, I use a “no-touch” technique. This minimizes the risk of bacterial infection by ensuring that nothing — with the exception of a sterile sleeve and sterile gloves — comes in contact with the implant. When I’m ready to handle the implant, I immediately switch to fresh, sterile gloves and then coat the surface of the implant with antibiotics before using a sterile sleeve to insert it into the pocket. These extra steps result in increased safety for the patient and provide a soft, natural-looking result.

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