A complication after mammoplasty, such as capsular contracture, can be caused not only by the quality of implants, a violation of the technique of the operation or the characteristics of the body, but also provoked by the patient's constant smoking, uncontrolled medication, heavy physical exertion, which lead to severe tension of the pectoral muscles . With capsular contracture, the patient complains of discomfort in the chest area, soreness, and that the mammary gland has an unnatural appearance. Breast correction with capsular contracture consists of capsulectomy or re-endoprosthetics.
Why does capsular contracture form
Capsular contracture appears due to the fact that the fibrous tissue that has formed around the endoprosthesis begins to thicken and compress it, deforming the mammary gland. The breast becomes hard, sometimes asymmetric, the implant clearly contours through the skin.
According to statistics, such a complication as capsular contracture can occur quite often - up to 10% of cases of plastic surgery for breast augmentation. The reasons why this complication occurs may be different - it depends on the patient's state of health, on the quality of the implant and the skill of the surgeon, on the patient's lifestyle and her compliance with the doctor's recommendations in the postoperative period.
The main reasons why capsular contracture can form:
- non-observance of the surgical technique, postoperative hematomas, damage to the breast ducts;
- subcutaneous implant location, too small formed pocket for the implant; staphylococcal infection;
- use of silicone implants with a smooth surface, implant ruptures;
- hormonal imbalance, tendency to cicatricial processes;
- smoking, chest bruises, strenuous exercise.
Capsular contracture symptoms and treatments
Capsular contracture may appear within the first year after breast augmentation surgery, but may also develop several years later. Most often, the deformity affects one mammary gland, but damage to both glands also occurs.
With capsular contracture, the mammary gland acquires an unnaturally round shape, thickens, and sometimes becomes painful to the touch. The endoprosthesis becomes visible visually, its edges are felt during palpation. Sometimes breast asymmetry develops.
Treatment of capsular contracture is prescribed individually for each patient, depending on the degree of capsular formation, the patient's health status, and the reasons for the formation of breast deformity.
Surgical treatment may include dissection of the fibrous capsule, correction of the location of the implant, its replacement with a new one or its removal, re-endoprosthetics. Capsular contracture surgery can be combined with mastopexy to improve the aesthetic outcome. The patient should be warned about the need for careful adherence to the postoperative regimen and the doctor's recommendations regarding the lifestyle with breast implants.
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