One of the most common breast augmentation complications is Capsular Contracture. Invasion of any foreign body being surgically implanted, normally reacts with the occurring of a natural reaction from the body. The scar tissue begins to shrink, which is known as capsular contracture. Though the rate and extent of shrinkage vary from person to person and the capsule will squeeze and tighten the implant making the breast to appear distorted and harder, along with high discomfort and pain in that region.
Unfortunately, this is the most unavoidable part of the complication associated with the breast implant that sometime or the other must be witnessed.
The four grades of capsular contracture are as follows:
- Grade 1- Breast appears softer and natural
- Grade 2- Slightly firmer breasts, though appearance remains normal
- Grade 3- Breast is firm and gets distorted
- Grade 4- The breast is hard and completely appears distorted and abnormal.
Why Does It Occur?
Though there are several factors which contribute to the development of the condition of capsular contracture, but the most common factors resulting in this are leakage of the silicone gel, leakage and bleeding of the ban ruptured implant.
It is quite common that the patients experience severe trauma in this region from a tragic accident of an impact from a fall or rough mammography.
If there is bleeding right after the implant, then the stimulating factor which causes the breast implant capsule to thicken, which must be taken care of immediately. The formation of bacterial contamination leads to a significantly abnormal and distorted formation of the capsule chronically. Not only is the result of this a changed shape of the breasts, but also an uncomfortable and hardening of the breasts.
Survey studies have shown that about 26.9% of women receive breast implant surgery have witnessed Contracture.
Treating Capsular Contracture
Grade 3 and grade 4 Capsular Contracture generally require the removal of breast implant, but if the patient chooses to undergo a breast augmentation in the form of a revision, it is important that a new breast implant should be used as the previous one is ruptured.
Factors of Increased Risks of Capsular Contracture:
The following has been found to be factors of increased risks of capsular contracture which occurs:
- Above the muscle placement
- Textured implants
- Larger implants
- Peri- areolar incision (breast fold incision)
- Development of the Seroma after surgery
- Usage of the post operative bra for full support
As per data, the complications occur in only 20% of the patients face it, who have to deal with its severity, but only among them not all experience the severity of this condition, some just have to witness a mild form of it.
Source : articlesbase.com
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