Capsular Contracture Malaga
Table of contents Capsular Contracture
One of the most common problems or recurrent at the time of a breast implant is usually the encapsulation of the same, that is to say the formation of a capsule and capsular contracture.
This problem is usually very difficult to remedy, and although some surgeons order massages and others to take pills, it is generally necessary to resort to re-operation, changing the prostheses or simply removing the capsule that is surrounding the prosthesis.
Many of the people who decide breast surgery and they have been informed about the possible complications or problems that the operation can cause them, they doubt whether to do it or not because of this problem. Although there are more people who regret having had surgery after having had this problem, arguing the high cost of such an operation for having to perform it two, three or even more times, in order to keep the breasts firm and without the awkward encapsulation.
Aesophy Clinic: Capsular contracture surgery
What is the Capsular contracture?
capsular contracture It is a complication that can occur after breast augmentation surgery. It occurs when the capsule surrounding the breast implant becomes too thick and hard. This can cause pain, discomfort, and an unsightly appearance.
What are the symptoms of capsular contracture?
The symptoms of capsular contracture can vary depending on the degree of the contracture. The most common symptoms include:
- Chest pain
- Discomfort when touching the chest
- Breast implant instability
- Change in breast shape or size
How is capsular contracture diagnosed?
Diagnosis of capsular contracture is made through a physical examination and mammography. In some cases, a breast ultrasound or breast MRI may also be necessary.
How is capsular contracture treated?
Treatment of capsular contracture depends on the degree of the contracture. In mild cases, treatment may consist of anti-inflammatory medications or physical therapy. In more severe cases, surgery may be necessary to remove the breast implant or replace it with a new one.
Capsular contracture surgery at Aesophy Clinic
At Clínica Aesophy, we have a team of highly qualified plastic surgeons who can perform capsular contracture surgery with the best results.
Our surgeons use advanced surgical techniques to safely remove the breast implant and minimize scarring. In addition, we use high-quality breast implants to guarantee the best aesthetic result.
Are you thinking about undergoing capsular contracture surgery?
If you are thinking about undergoing capsular contracture surgery, we invite you to contact us so we can advise you on the best option for you.
What are the types of capsular contracture?
Capsular contracture is classified into four degrees, depending on its severity:
- Grade I: The capsule is slightly thick and hard, but does not cause any symptoms.
- Grade II: The capsule is thicker and harder, and may cause mild pain or discomfort.
- Grado III: The capsule is very thick and hard, and can cause severe pain, discomfort, and an unsightly appearance.
- Grade IV: The capsule is so thick and hard that it can deform the chest and cause breathing problems.
What are the risk factors for capsular contracture?
Risk factors for capsular contracture include:
- Age: Older women have a higher risk of developing capsular contracture.
- The type of breast implant: Silicone breast implants have a higher risk of developing capsular contracture than saline breast implants.
- The surgical technique: The surgical technique used to place breast implants may influence the risk of developing capsular contracture.
How can I prevent capsular contracture?
There is no sure way to prevent capsular contracture. However, there are some things you can do to reduce the risk, such as:
- Choose an experienced and qualified plastic surgeon.
- Use high quality breast implants.
- Follow your plastic surgeon's instructions after surgery.
The headings I have highlighted in bold are the ones I believe are most relevant to people looking for information about capsular contracture surgery. These headings provide an overview of the condition, its symptoms, diagnosis, treatment and prevention.
Frequently Asked Questions Capsular Contracture
What is capsular contracture and why does it occur?
What is the Capsular contracture?
Capsular contracture occurs when scar tissue, which normally forms around the breast implant as part of the body's natural healing process, hardens and contracts. This scar tissue is known as a "capsule." Under normal conditions, this capsule is soft or slightly firm, holding the implant in place and giving it a natural appearance. However, in some cases, the capsule becomes excessively thick and begins to shrink. This can cause the breast to feel hard and can change the shape and position of the breast implant. In severe cases, it may cause pain or discomfort.Why Does Capsular Contracture Occur?
The exact causes of capsular contracture are not completely known, but it is believed that several factors may contribute to its development:- Inflammatory Reaction: The formation of a capsule around an implant is a normal inflammatory reaction of the body. However, in some cases, this reaction may be excessive, leading to the formation of a thicker, more rigid capsule.
- Bacterial Infection: It has been suggested that bacteria, even at very low levels, can adhere to implants and cause a stronger inflammatory response, which could lead to capsular contracture.
- Hematoma/Seroma: The presence of blood (hematoma) or fluid (seroma) around the implant, especially if it does not resolve quickly, may increase the risk of capsular contracture.
- Implant Type and Position: Some studies suggest that the surface and location where implants are placed (for example, over or under the pectoral muscle) may influence the risk of developing capsular contracture.
- Individual Genetic Response: Individual differences in the body's response to implants may play a role in the development of this condition.
- Trauma or Additional Surgery: Any damage or additional surgery to the implant area may increase the risk of contracture.
How is capsular contracture diagnosed?
The diagnosis of capsular contracture is primarily made through a clinical evaluation by a plastic surgeon or breast specialist. The diagnostic process generally includes the following steps:
Clinical Evaluation and Medical History: The doctor begins with a detailed review of the patient's medical history, including information about previous breast implant surgery, any postoperative complications, and current symptoms.
Physical exam: During the physical examination, the doctor will evaluate the appearance, consistency, symmetry, and mobility of the breasts and implants. Capsular contracture can cause the breasts to feel firm or hard to the touch, and they may appear abnormally round, raised, or asymmetrical.
Baker scale: Capsular contracture is commonly classified using the Baker scale, which helps determine the severity of the condition. This scale has four degrees:
- Grade I: The breast is normally soft and appears natural in size and shape.
- Grade II: The breast is a little firm but seems normal.
- Grade III: The breast is firm and looks abnormal.
- Grade IV: The breast is hard, painful to the touch and looks abnormal.
Diagnostic Imaging: Although not always necessary, imaging techniques such as mammography, ultrasound or magnetic resonance imaging (MRI) can be useful to evaluate the status of the implants and the presence of other complications, such as implant rupture. These images can also help exclude other conditions that could cause similar symptoms.
Symptom Assessment: The doctor will also consider any symptoms reported by the patient, such as pain, tenderness, changes in sensation, or difficulties with certain movements or postures.
The diagnosis of capsular contracture is based largely on the physical examination and evaluation of symptoms. If the diagnosis is unclear, or if there are concerns about the integrity of the implant, additional imaging tests may be used. Once diagnosed, the doctor will discuss the most appropriate treatment options with the patient.
What treatment options are there for capsular contracture?
Non-Surgical Treatments
- Massages and Compression Exercises: In mild cases (generally grade I or II on the Baker scale), massages and compression exercises may be recommended to maintain the softness of the implant and capsule. However, these methods must be supervised by a professional to avoid damage.
- Pharmaceutical products: Medications may be used to treat inflammation and possibly prevent worsening of the contracture. These may include anti-inflammatories or specific medications that the doctor deems appropriate.
Surgical Treatments
In more severe cases (grade III and IV), or when non-surgical treatments are not effective, surgical options may be considered:- capsulectomy: This procedure involves the surgical removal of the scar capsule. A total capsulectomy, where the entire capsule is removed, or a partial capsulectomy can be performed.
- Capsulotomy: Capsulotomy is a procedure in which the scar capsule is cut or released to relieve pressure, but not completely removed.
- Implant Replacement or Removal: During a capsulectomy, it is often decided to replace or remove the breast implant. Replacement may include changing the type or size of the implant, or modifying its position (for example, moving it from subglandular to submuscular).
- Use of Acellular Dermal Matrix (ADM) or Meshes: In some cases, materials such as acellular dermal matrix or special meshes may be used to help reduce the recurrence of capsular contracture.
- Laser or Ultrasound Therapy: Some clinics offer additional therapies, such as laser or ultrasound treatment, to help improve skin quality and reduce scar formation.
Additional considerations
- Surgeon's Choice: It is crucial to choose an experienced and qualified plastic surgeon for these procedures, as the surgical technique and experience of the surgeon can significantly influence the outcome.
- Individual Risk Assessment: Before any treatment, it is important to evaluate individual risks and discuss expectations and possible results with the surgeon.
- Postoperative Follow-up: Postoperative care and follow-up are essential to monitor the evolution and prevent recurrence of capsular contracture.
What is the Process of Capsular Contracture Surgery?
Initial Consultation and Evaluation
- Medical Evaluation: The surgeon will evaluate the condition of the breast, the severity of the contracture and the status of the implants.
- Discussion of Treatment Options: Surgical options are discussed, including the possibility of removing or replacing the implants.
- Procedure Planning: The most appropriate surgical method (capsulotomy or capsulectomy) is determined.
Preparation for Surgery
- Preoperative Instructions: They include fasting before surgery, medication adjustments, and self-care recommendations.
- Preoperative Tests: They may include blood tests, mammograms, or ultrasounds.
Surgery Day
- Admission to the Clinic: Arrival at the clinic and preparation for surgery.
- Anesthesia: Generally, general anesthesia is used.
- Carrying out the Procedure:
- Capsulotomy: Cutting and relaxation of the scar capsule.
- Capsulectomy: Complete removal of the scar capsule.
- Implant Management: It may include replacement or removal of the implant.
Postoperative Recovery
- Immediate Care: Monitoring after surgery to control vital signs and possible complications.
- Discharge from Hospital: Depending on the procedure, it may be the same day or require a short hospital stay.
- Postoperative Instructions: They include wound care, pain management, and activity restrictions.
Tracking
- Follow-up Appointments: To evaluate healing and aesthetic result.
- Long Term Management: Recommendations for ongoing breast and implant care.
Results and Expectations
- Aesthetic Results: Final results may take several weeks or months to fully manifest.
- Risks and Complications: Information about possible risks, such as infection, bleeding, or recurrence of the contracture.
What advantages does capsular contracture surgery have at Clínica Aesophy?
Initial Consultation and Evaluation
- Medical Evaluation: The surgeon will evaluate the condition of the breast, the severity of the contracture and the status of the implants.
- Discussion of Treatment Options: Surgical options are discussed, including the possibility of removing or replacing the implants.
- Procedure Planning: The most appropriate surgical method (capsulotomy or capsulectomy) is determined.
Preparation for Surgery
- Preoperative Instructions: They include fasting before surgery, medication adjustments, and self-care recommendations.
- Preoperative Tests: They may include blood tests, mammograms, or ultrasounds.
Surgery Day
- Admission to the Clinic: Arrival at the clinic and preparation for surgery.
- Anesthesia: Generally, general anesthesia is used.
- Carrying out the Procedure:
- Capsulotomy: Cutting and relaxation of the scar capsule.
- Capsulectomy: Complete removal of the scar capsule.
- Implant Management: It may include replacement or removal of the implant.
Postoperative Recovery
- Immediate Care: Monitoring after surgery to control vital signs and possible complications.
- Discharge from Hospital: Depending on the procedure, it may be the same day or require a short hospital stay.
- Postoperative Instructions: They include wound care, pain management, and activity restrictions.
Tracking
- Follow-up Appointments: To evaluate healing and aesthetic result.
- Long Term Management: Recommendations for ongoing breast and implant care.
Results and Expectations
- Aesthetic Results: Final results may take several weeks or months to fully manifest.
- Risks and Complications: Information about possible risks, such as infection, bleeding, or recurrence of the contracture.
What care should be followed after capsular contracture surgery?
Postoperative care after capsular contracture surgery is crucial to ensure a successful recovery and minimize the risk of complications. Although your surgeon will provide specific instructions tailored to each case, here are some general guidelines that are often recommended:
Rest and Recovery: It is important to take enough time to rest after surgery. Avoid strenuous activities and heavy lifting for the first few weeks.
Use of Post-Surgical Bra: Wearing a special compression bra may be recommended to help reduce swelling and support the breasts while they heal.
Pain management: Pain relievers may be prescribed to control any pain or discomfort. It is important to follow your doctor's instructions on medication.
Incision Care: Keep incisions clean and dry. The surgeon will provide instructions on how to care for them and when it is safe to shower.
Avoid Excessive Arm Raising: Avoid raising your arms above your head during the initial postoperative period to avoid stretching the incisions.
Monitoring for Signs of Infection: Look for any signs of infection, such as excessive redness, swelling, heat in the operated area, or fever.
Avoid Certain Activities: Avoid activities that may cause impact to the chest, such as running or high-impact aerobic exercise, until your doctor says it's okay.
Edema Control: Swelling is normal after surgery. It may be helpful to sleep with your head and shoulders elevated to reduce edema.
Postoperative Follow-up: Attend all follow-up appointments so the surgeon can evaluate your recovery and remove sutures if necessary.
Postoperative Massages: In some cases, the doctor may recommend gentle massage of the operated area to promote flexibility and reduce scar formation. However, this should be done only under the guidance of the surgeon.
Proper Hydration and Nutrition: Maintain good hydration and follow a balanced diet to support the healing process.
Avoid Smoking and Alcohol Consumption: Smoking can negatively affect the healing process, increasing the risk of complications. Alcohol consumption should also be limited.
It is essential to follow the surgeon's specific recommendations, as they may vary depending on the individual case, the type of surgery performed, and the surgical techniques used. Open communication with the medical team is key to a successful recovery.
What results can be expected from capsular contracture surgery?
The results of surgery to treat capsular contracture may vary depending on each case., but there are certain general expectations that can be considered:
Improved Firmness and Contour of the Breast: The surgery aims to reduce the firmness caused by the scar capsule and restore a more natural, soft appearance to the breasts.
Relief of Pain and Discomfort: If capsular contracture was causing pain or discomfort, surgery can provide significant relief.
Aesthetic Improvement: Surgery can improve the aesthetics of the breasts, correcting deformities and asymmetries caused by contracture.
Long Term Results: Although the results may be long-lasting, there is no guarantee that capsular contracture will not recur. The probability of recurrence may depend on several factors, including the surgical technique used and the individual characteristics of the patient.
Recovery of Sensitivity: If there were alterations in breast sensitivity due to the contracture, surgery could help recover it, although this is not guaranteed.
Need for Future Surgeries: In some cases, additional surgeries may be necessary, either for cosmetic adjustments or to treat a recurrence of the contracture.
Time to See Final Results: Although immediate changes may be noticed after surgery, the final results may take several months to fully manifest, once the swelling has subsided and the tissues have settled.
Changes in Breast Feel and Texture: After surgery, the breasts should feel softer and more natural to the touch compared to the preoperative firmness caused by the contracture.
Improved Symmetry: If capsular contracture had caused significant asymmetry, surgery can help improve the symmetry between both breasts.
Patient Satisfaction: Many patients experience an improvement in self-confidence and satisfaction with the appearance of their breasts after surgery.
It is important to keep in mind that each patient is unique, and results may vary. Open and realistic communication with the surgeon before the procedure is crucial to setting appropriate expectations and understanding the possible outcomes and risks. Additionally, carefully following post-operative instructions and attending all follow-up appointments is essential to achieving the best possible results.
Capsular Contracture Aesthetic Surgery Clinic Near you
En Aesophy Clinic, recognized as a cosmetic surgery clinic with the best opinions, we specialize in providing effective and personalized solutions for the treatment of capsular contracture.
Our approach focuses on combining advanced techniques and personalized care, which positions us as leaders in the field of cosmetic surgery. He best plastic surgeon for capsular contracture intervention is on our team, providing patients with exceptional results and first-class post-operative care.
En Aesophy Clinic, we understand that each patient has unique needs, especially when it comes to a procedure as delicate as capsular contracture surgery. Therefore, we offer an individualized treatment plan, ensuring that each patient receives the most effective and compassionate care possible.
Trust our experience and commitment to obtain the best results in your capsular contracture surgery. We are here to help you achieve the well-being and confidence you deserve.
Contact Book appointment Capsular Contracture Málaga
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