One of the hardest situations in plastic surgery is to have a patient’s results not go as expected. This may or may not be the fault of the physician, but the best results are directly correlated to the most credentialed, experienced surgeon. This is why it is crucial to only trust your face and body to someone like myself – a highly skilled, specially trained, experienced, board certified plastic surgeon.
In my area, I’m the only triple Board certified plastic surgeon, a member of multiple prestigious medical societies, and a published professor at Georgetown University. Along with my many years of experience, compassion and patient care, these credentials have led to my ability to provide a very high level of patient satisfaction. As a result, I’m often called upon to correct the concerns that arise from unsatisfactory surgeries at the hands of other physicians and the unforeseen side effects that happen from improper healing.
For example, an occasional unwelcome side effect after beast augmentation surgery is Capsular Contracture. This occurs when the scar tissue that has formed around breast implants tightens and hardens around the implants to create an imbalanced external appearance. This means that the affected breast will look a different shape or be at a different height on the chest. While meticulous surgical precision can help prevent capsular contracture, as with any surgical procedure there will be scar tissue and there are factors outside of the physician’s control.
Here are some tips that might help avoid Capsular Contracture:
1) Avoiding smoking is one of the most predictable ways
to reduce your chances, as you’re twice as likely to have Capsular contracture if you smoke.
2)Two weeks prior to surgery, start taking Vitamin E and possibly Prednisone, a prescription corticosteroid drug.
3)Breast implants in a submuscular position, or under the pectoral muscles, may be less likely to develop capsular contracture than when breast implants are placed in a subglandular position, or over the pectoral muscles.
There’s a slightly higher percent of Capsular Contracture with silicone implants over saline.
Upon the instruction of surgeon, massaging and compression of the breast implants can help keep the capsule flexible and loose.
Capsular contracture may develop at any time, but can occur as early as 4 to 6 weeks after surgery, and usually not later than 6 months. It can affect just one or both breasts. Fortunately, it can be corrected with Revision Breast Surgery. There is a special art and skill to correcting Capsular Contracture because of the difficulty in working with scar tissue. It’s a puzzle figuring out what possibly went wrong and then to skillfully correct it.
Revision Breast Surgery to correct Capsular Contracture can involve a variety of ways of releasing the interior scar tissue. These may include:
capsulotomies, capsulectomies, implant exchange or placement behind the pectoral muscle.
A Capsulotomy is a surgical procedure that releases scar tissue without removing it from the pocket. This gives room for the breast pocket to expand, relieving the scar tissue contraction that is squeezing the breast implant. A Capsulectomy is a more aggressive approach, as it completely removes the scar tissue surrounding a breast implant. This procedure is more often used when the scar tissue is very thick and calcified or when a silicone breast implant has ruptured.
If you’ve experienced the disappointment of your breast augmentation not going right and want to trust your body to one of the leading plastic surgeons to correct it, please set up a consultation at www.davinciplastic.com.
Steven Davison M.D.
Board Certified Plastic/Reconstructive Surgeon