Capsular contracture
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Capsular contracture is a response of the
The occurrence of capsular contraction follows the formation of capsules of tightly woven
Moreover, because capsular contracture is a consequence of the immune system defending the patient's bodily integrity and health, it might recur, even after the requisite corrective surgery for the initial incidence. The degree of an incidence of capsular contracture is graded using the four-grade Baker scale:
- Grade I — the breast is normally soft and appears natural in size and shape
- Grade II — the breast is a little firm, but appears normal
- Grade III — the breast is firm and appears abnormal
- Grade IV — the breast is hard, painful to the touch, and appears abnormal
The surgical implantation methods that have reduced capsular contracture include submuscular breast implant placement, using either textured or polyurethane-coated implants,[2][3][4] limited handling of the implants, minimal contact with the chest wall skin before their insertions, and irrigating the surgical sites with triple-antibiotic solutions.[5][6] The use of macrotextured implants and polyurethene-coated implants may increase the risk of BIA-ALCL, a rare form of lymphoma associated to the presence of breast implants.[7][8]
The correction of capsular contracture might require the surgical removal (release) of the capsule, or the removal, and possible replacement, of the breast implant, itself. Closed capsulotomy (disrupting the capsule via external manipulation), a once-common maneuver for treating hard capsules, was discontinued because it might rupture the breast implant. Non-surgical methods of treating capsules include massage, external
The
Sources
- Section on Complications from the FDA Breast Implant Consumer Handbook - 2004. Most of the above text was copied verbatim from this public domain source.
- Safety of Silicone Breast Implants. Institute of Medicine National Academy Press, Washington, D.C. 2000.
- Breast Augmentation and Breast Implants Information Website - ImplantInfo by Nicole
- Breast Augmentation Surgery Risk & Complications Website - BreastAugmentation101
References
- ISBN 978-0-9857249-3-1
- S2CID 35420582.
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- PMID 19338905.
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- ^ "Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL)". Food and Drug Administration. Retrieved 20 March 2019.
- PMID 31738381.
- S2CID 2784003.
- PMID 19331987.
- S2CID 251008.
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- ^ "Beverly Hills Capsular Contracture Surgery Information". Dr John Diaz, MD - Los Angeles Plastic Surgeon. Retrieved 2024-04-03.