Implant-related complications, such as Breast implants capsular contracture, are possible for women who undergo breast implants or reconstruction. As many as one in ten people may be affected. How does capsular contracture manifest itself?
The human body is an intelligent machine. An implanted breast implant is viewed as an extra-terrestrial body part in the body. A layer of scar tissue forms surrounding the wound. The capsule is the name given to this. This is where the implant is going to be placed. Massages can help an implant’s ultimate position, but the implant capsule must be kept soft and flexible once complete. As a final goal, we want the breasts to feel as though they are natural.
The scar tissue around the implant may begin to compress or tighten in certain people
This “capsular contracture” can be moderate, but it can cause distortion, discomfort, or hardening of the breasts in some patients. Depending on the individual, it may appear immediately after surgery for some, or it may take months or years for others to notice.
Capsular contracture is caused by what?
Bacterial biofilms on the implant surface are thought to generate a low-grade infection that results in persistent inflammation and the formation of a thick capsule of collagen fibres. Additionally, hematomas and silent ruptures of silicone implants are two other variables that contribute to their occurrence.
What will happen if I get Breast implants capsular contracture?
Symptoms of capsular contracture include tightness and firmness of the breast and pain and deformity of the breast. In most cases, the implant is elevated above the level of the chest wall. Based on the Baker scale, a diagnosis can be assigned to a range of severity:
- Grade I: The breast is supple and normal-looking.
- Grade II: The breast is hard and saggy.
- Grade II: the breast appears normal, albeit a little hard.
- Grade III: The breast seems unnatural and is firm.
As a result, the breasts are rigid, appear unnatural, and are frequently in pain.
What can be done to avoid this?
It is possible to reduce the risk of capsular contracture by limiting intra-operative handling of the implant, using an antibacterial solution in the breast pocket before insertion, meticulously controlling bleeding points, using antibiotics throughout the procedure, and avoiding talcum powder gloves. In addition, the placement of the implant under the pectoralis major muscle, the use of textured implants, and the avoidance of a peri-areolar incision have all been shown to lower the incidence of complications. Preventative leukotriene injections (Accolate, Singulair) and post-operative breast exercises for smooth implants can be effective.
How to deal with a contracted capsule
Implant exchange and surgical capsulectomy are the standard treatments for Baker grade III and IV cases. In other circumstances, acellular dermal matrix and a shift in the pocket’s plane are also options to explore. Complementary treatments may also include drugs like leukotrienes and Vitamin E.