In breast implant surgeries, a membrane forms around the implants, which with time hardens instead of remaining pliable. This hardening of tissue is called capsular contracture and this is caused due to irritation from gloves, bacteria, and blood left behind in the area after the surgery.
Good news is that nowadays this problem has reduced considerably due to improved surgical techniques, better planning and superior quality implants incorporated with silicon shells. These shells allow less diffusion of silicon which leads to less inflammation.
Precautions to Reduce Capsular Contractures
- Incision: Breast implants get contaminated by the bacteria from nipple incision and hence should be avoided.
- Removal of scar tissue: The entire scar tissue or capsule should be removed to prevent recurrence.
- Surgical technique- The surgery should be precise and blood less.
- Draining – A silicon tube is inserted either through the armpit to evacuate the blood and serum left behind by surgery.
- Antibiotic irrigation – Antibiotics which are very potent are given either orally or through IV to reduce the load of bacteria.
Thus to sum up, the occurrence of Capsular contractures have minimized appreciably now but still occurs in 15%-20% of the cases. Thus taking the above mentioned precautions and doing a gentle surgery with minimum blood loss one can prevent the occurrence of Capsular contractures.