Tag: Breast Implant

Capsular Contracture

When a foreign object inters our body, our immune system tries to either destroy it or contain it. Some immune systems interpret a breast implant as a foreign object. Since the immune system cant destroy an implant, it tries to contain it. It attempts to build a wall around the intruder to keep it from spreading to the rest of the body. The wall around the implant is called a capsule.

When the capsule tightens around the implant its called capsular contracture. The squeezing can be painful and can change the shape of the breast. The changed shape can affect the appearance of the breast as well.

The severity of the capsular contracture varies between cases. With the mildest case, the breast looks normal and still feels soft. This is classified as grade 1. Grade 2 still looks normal, but the breast is a little firm. At grade 3, the breast is firm and the appearance is considered abnormal. Grade 4 is the most severe and the most painful. The breast looks abnormal and is hard.

You may have to have another operation to fix capsular contracture. The capsule has to be removed, and sometimes the implant has to be replaced. But there are cases where successful treatments have been achieved without any additional surgery.

Its not known exactly what causes the bodys immune system to behave abnormally towards an implant, but capsular contracture can happen after any implant or implant repair surgery. Not just breast implants.

Breast Implant Ruptures

A saline implant rupture results in quick deflation and is easily removed. Recent FDA approved studies show rupture/deflation rates of 3-5% at 3 years and 7-10% at 5 years. Older studies depended on clinical exams to determine rupture rates.

Recent reports have determined these exams arent adequate to evaluate rupture rates. One study reported ruptures in asymptomatic patients are correctly detected by experienced plastic surgeons 30% of the time. This is compared to a detection rate of 86% by MRIs.

The FDA currently recommends MRIs be used to screen for ruptures beginning three years after implantation and continuing every two years thereafter.

Other countries consider MRIs useful only in cases of suspected ruptures and to confirm ultrasound or mammographic studies suggesting a rupture.

Silicone implant ruptures rarely result in deflation. The silicone leaks into the space around the implant. This indicates the need for removal of the implant. The risk and treatment of extracapsular leakage is controversial. Its agreed the gel is difficult to remove, but theres disagreement about the health effects.

The majority of MRI data for silicone gel implants indicates after 11 years, most women had at least one ruptured implant with silicone leakage outside the capsule of 21% of the women. The available long term data deals with 3rd and 4th generation implants and shows a 15-30% risk of silent rupture. MRI evaluation of the 5th generation implants implies improved durability. A rupture rate of 1% or less at an average age of six years is reported.

Repair or Revision Surgery

Breast implants dont last forever. Implant manufacturers are required to tell women that the implants they supply arent permanent. The most common implant repair or replacement surgeries are due to the implant itself either rupturing or deflating.

Whatever type of breast implant you choose, the chances are good youll need corrective surgery in your lifetime. The most common reason for additional surgery is complications. These could be miner or major complications which can occur after any surgery. Other things which require additional surgery include capsular constracture treatment and to repair any ripples or wrinkles in the implant that might show.

Breast reconstruction has a higher frequency of additional surgeries. Mastectcomy results in such drastic changes in the soft tissue and anatomical borders, multiple surgeries are often the only choice. Its also common for breast cancer patients to undergo several surgeries. Procedures to reconstruct the nipple-areola complex and to achieve symmetry with the remaining breast are done in planned stages

In cosmetic implants, additional surgeries can be drastically reduced by making the correct choices before surgery. Matching the size and type of implant with the patients soft-tissue characteristics provides more successful results. These results provide the most aesthetically pleasing appearance and reduces the chances of ripples and wrinkles in the implant showing.

Choosing the breast implant thats best suited to your physical needs as well as choosing the best surgical procedure will reduce the occurrences of additional surgeries and result in the maximum satisfaction with your implants.