For breast augmentation, the capsule plays an important role in limiting the movement of the prosthesis and separating the prosthesis from the body, and will not affect the softness and feel of the prosthesis. Normal degree of coating is necessary!
However, if the human body reacts too much to the prosthesis, the capsule will continue to proliferate, become thick and compress the prosthesis, and the feel of the prosthesis will become worse, resulting in pain, which is capsule contracture.
diagnostic criteria of capsule after breast augmentation:
I: breast softness
II: slight hardening, which can touch the breast prosthesis, but the appearance is not obvious
III: moderate hardening, which can easily touch the breast prosthesis, and can be seen from the appearance
IV: severe hardening, pain sensitivity, and distortion of the prosthesis
What are the causes of capsule contracture?
Types of prostheses
It was found that the incidence of capsule contracture of rough prosthesis was significantly lower than that of smooth prosthesis, and the silicone gel prosthesis was significantly better than that of normal saline breast prosthesis. The latest research found that there is not much difference in the incidence of capsule contracture between rough surface and smooth surface, so it has little effect.
insufficient stripping space
during surgery, due to insufficient anesthesia, doctors' manipulations and surgical operations, the prosthesis will be folded and sharp after entering the body, which will stimulate local parts, damage the tissue fibers of the body and form a local thick capsule.
Postoperative hematoma
Endoscopic surgery was not used during the operation, resulting in excessive hematocele and hematoma, and the incidence of capsular contracture after operation will be greatly improved.
Doctors' skills and hospital equipment
If there is a big trauma in the operation, even the best prosthetic material can't guarantee the postoperative effect, and the incidence of capsular contracture will be greatly improved. Anesthesia, disinfection of instruments and professionalism of equipment are directly related to the probability of infection during and after operation, which affects the possibility of capsular contracture.
Is there any chance to repair capsular contracture?
The treatment of capsular contracture is to take out the prosthesis and remove the capsule covering the surface of the prosthesis. It is necessary to completely remove the capsule at the pectoralis major level, and more attention should be paid to prevention than to choose repair after capsule contracture! !
how to prevent capsular contracture?
① Try to choose high-quality materials
The latest breast augmentation prostheses, such as French Esiya, Magic Drop, Beibu, Mantuo, etc., and use multi-layer walls to ensure the safe state of the prosthesis, with Esiya as many as 8 layers, taking into account the flexibility of the prosthesis, and reducing the incidence of silicone prosthesis spreading to other parts and capsule contracture.
② Choose experienced doctors and professional hospitals
Intraoperative treatment is the most important part to prevent capsular contracture. Experienced doctors can prevent excessive trauma and hematoma. If you want less trauma, endoscopic surgery will be a good choice for breast augmentation.
③ Postoperative care
The previous suture can now be bonded with soluble protein thread and medical glue to reduce the pain of suture removal.
To sum up, although breast augmentation with prosthesis can't guarantee 1% no capsular contracture, it can be prevented and reduced to the greatest extent through the above precautions and correct understanding of capsular contracture.
In addition, good prosthetic materials combined with endoscopic surgery can recover naturally without postoperative massage, and reduce the capsular contracture caused by the friction between the prosthesis and the tissue.