Capsular Contracture is a complication after a Breast Augmentation procedure that can happen from a few months post-Surgery to decades later.
Around all implants a fibrous capsules (scar tissue) is formed to keep it in place and protected.
For reasons that are not totally understood, this capsule can sometimes become thicker and contract. In its severe form causes discomfort and can distorts the breast. In these rare circumstances the capsule needs to be surgically removed and the implant replaced.
Dr Safvat only uses newer 5th generation implants, which their risk of capsular contractions are significantly reduced.
HISTORY OF IMPLANTS
The first breast implant was done in 1962 by Cronin & Gerow in the US. These 1st generation implants were viscous silicone in a thick shell. They had a very high incidence of capsular contracture.
The 2nd generation implants were developed in mid to late 70’s and had a less viscous silicone, inside a thin smooth shell. This resulted in less capsular contracture but increased the incidence of the shell rupturing and the silicone gel leaking out.
The 3rd generation implants were developed in early to mid 80’s to stop shell failure. The shell was more sophisticated and stronger.
The 4th generation implants had the same shell as the 3rd generation implants but the surface was roughened called textured surface. This again has been shown to decreased capsular contractures in the sub-glandular implants.
The 5th generation was like the 4th but the silicone gel inside is cohesive gel. This decreased the chance of leaking even if the shell was ruptured.
The capsular contracture rate of the new textured cohesive gel implants (5th generation) are less than 5% for cosmetic augmentation and 15% for breast reconstruction post mastectomy. It increases to 40% in the post radiotherapy (Breast Cancer) patients. Dr Safvat only uses newer 5th generation implants, which their risk of capsular contractions are significantly reduced.
Breast Implant Removal Technique
If Capsular contracture is present, the capsule (scar tissue) and the implant will need to be surgically removed. The incision is made under the breast to avoid obvious scarring and better access for the removal of the capsule. If the patient’s wish is to also have new implant then this is placed in the same pocket or in a new pocket depending on the patient’s breast shape and position.
Dr Safvat only uses newer 5th generation implants, from top quality companies which significantly reduces the risk of capsular contraction.
The procedure is done under a general anaesthetic in a fully accredited hospital with the participation of a specialist anaesthetist.
Upon discharge the patient is required to wear a medical garment (bras) for six weeks and need to have 1-2 weeks off work to rest at home. Walking is actively encouraged postoperatively but exertion and heavy lifting are not allowed for 3-4 weeks.
In some cases, Capsulectomy has an item number and patients may get a rebate from Medicare and their health fund. Again, the hospital costs may be covered by private health funds depending on the patients’ level and type of cover. At your first consultation Dr Safvat and his Team will discuss all the costs associated with the Surgery.
What you need to do before the operation
Smoking and being overweight have been shown to cause more complications after surgery. Dr Safvat will insist that you stop smoking at least 4 weeks before your surgery. He will also strongly encourage and help you to lose weight.