How to manage and prevent complications after breast augmentation? A brief discussion on postoperative capsular contracture.
許多人考慮豐胸手術升級罩杯的同時，也不免擔心隆乳手術風險，常聽到的石頭奶(果凍隆乳莢膜攣縮)是什麼原因導致？Arsty Clinic隆乳專業醫師為您說明隆乳後莢膜攣縮案例治療及預防。
Jelly-like breast augmentation with capsular contracture
When a foreign object is surgically implanted, the body produces a normal protective immune response. Collagen fibers tightly weave together to form a capsule called a capsule. Breast augmentation involves the surgical implantation of materials such as silicone gel, water-drop silicone gel, and saline implants. Therefore, varying degrees of capsule formation are common after breast augmentation. However, the most worrying postoperative complication is capsular contracture, which occurs when the collagen fiber capsule continues to shrink, even tightening and compressing the implant. This can cause symptoms such as hardening of the breast, pain, and even changes in breast shape. This is a common complication after breast augmentation.
Possible causes of capsular contracture
The exact cause of capsular contracture is currently unknown, but the following conditions may increase the likelihood of its occurrence:
(1) Autoimmune diseases
(2) The breast has been severely injured
(3) Hematoma
(4) Smoking reduces blood oxygen levels, which prolongs the healing process.
Capsular contracture can be divided into four stages according to its severity.
Phase 1: Breasts feel soft to the touch and appear normal.
Second day: Breasts are firm, but appear normal.
Stage 3: Breasts harden and become visibly deformed.
Stage 4: Breasts become hard and painful, and their appearance is severely deformed.
Treatment methods for different degrees of capsular contracture
Stage 1 and Stage 2: No surgery is required; treatment can be achieved through methods such as enhanced massage.
Stage III capsular contracture:Capsule removal surgeryAdjusting the implant position allows the deformed appearance to return to an aesthetically pleasing location.
Stage IV capsular contracture: Surgical removal of the capsule, removal of the original implant, and reimplantation are required.
The breast tissue has noticeably increased in size, butIts location and appearance seem increasingly strange, I'm worried it might be...The condition of capsule contracture was investigated.Capsule removal surgery, but inA month later, the stiffness and deformed appearance problems recurred.
求助無門的情況下，朋友介紹來到Arsty Clinic諮詢，希望可以有更好的解決方案，經過反覆的討論以及協商，我們建議她進行「莢膜清除手術」以及「植入物更換」。
The original implant was replaced with "smooth, disc-shaped jelly silicone" to "velvety, teardrop-shaped jelly silicone," resulting in a more ideal fullness and aesthetic effect at the upper edge of the breast.
How to reduce the chance of capsular contracture after breast augmentation surgery?
The formation of a fibrous capsule after the surgical implantation of a foreign object is a normal reaction. Currently, there is no way to prevent capsular contracture. However, several key points before and after breast augmentation surgery can reduce the chance of capsular contracture.
(1) Avoid hematoma: The operation is precise and gentle, reducing tissue damage and blood loss, avoiding bleeding or inflammation, and placing a drainage tube to drain blood and avoid causing hematoma.
(2) Placement plane of breast augmentation: The implant is placed under the pectoralis major muscle, which can avoid contact with breast tissue and reduce the chance of bacterial infection. In addition, the continuous massage of the implant by the pectoralis major muscle with the movement of the body will also reduce the incidence of capsular contracture.
(3) Post-breast augmentation massage:The benefits of massage include reducing postoperative tissue edema, decreasing blood stasis in dead space to reduce scar tissue formation, and thus preventing capsular contracture.While the benefits of textured implants do not require massage, it is recommended to combine them with massages to reduce swelling, which can help you quickly return to daily life.
(4) Taking vitamin E starting one week after surgery can soften the collagen in the fibrous tissue and make the capsule more flexible.
(5) Keep your mouth clean and take antibiotics when you have wounds to reduce inflammation from the bloodstream.
(6) Avoid smoking and secondhand smoke before and after surgery.
Mando Water Drop Breast Augmentation Recreates the Golden Ratio Dream Breast Shape
Fat Graft for Breast Augmentation．精雕美胸輪廓
While sculpting excess fat in the waist, hips, and thighs, the procedure also purifies autologous fat and re-fills it into the breasts, improving postpartum breast atrophy, uneven breast size, and lack of upper breast tissue, creating a natural and beautiful bust.
For women with severe postpartum sagging and loosening, a combination of silicone gel breast augmentation and autologous fat transfer breast augmentation can be performed to create a firm and full breast shape in one procedure.
