What is capsular contracture and how do I prevent it?

Breast Implants and Capsular Contracture

It hurts to wear a bra and despite the admiring looks you're getting, you just want to hide in a closet. Aren't breast enhancement and breast enlargement supposed to make you more confident? Your breasts may have become hard because of capsular contraction around breast implants after breast surgery. Scar tissue tightens around your new breast implants. How can your breast surgeon prevent capsular contraction?

  • Some Breast augmentation experts think that placing breast implants closer to the breast wall will eliminate capsular contraction.
  • Rounded breast implants under the tissue, sub-mammary, reduces the risk of capsular contracture by over half.
  • Massage after breast surgery can help if you have soft silicone or saline implants.
  • If you take Vitamin E, except two weeks before surgery, you may avoid capsular contracture.
  • Textured implants over the muscle resist capsule contracture after breast augmentation.

Surgeons can treat the problem, should it occur, with antibiotics and/or a capsulectomy to remove the scar tissue. Your breast surgeon may not charge you for this corrective surgery. You don't want to hide away--you want to show off your new look. Some pre-planning can help you face the world happily.

Teardrop or Round Shaped?

Teardrop or round-shaped? This is a matter of personal preference when you're choosing earrings. You assume that the decision is that simple when you're choosing round or teardrop breast implants. Teardrop breast implants, you've heard, are better for breast augmentation because they more closely mimic the natural shape of the breast--and you do want your breasts to look natural, just bigger. Round breast implants are traditional, but sometimes result in that "balloon" effect we've all seen. You think that teardrop breast implants will make your breast augmentation surgery or breast lift a greater success. Not necessarily.

Some surgeons believe that teardrop breast implants work best when you have enough breast tissue to place the implant over the muscle or when you are small-breasted with tight skin. In general, the looser your skin, the rounder or more "balloony" your breast will look no matter what the implant resembles when you see it in the breast surgery clinic. If your tissue is lax, you won't get that teardrop shape. You might consider getting a breast lift or mastopexy to tighten your skin and tissue. Your surgeon may or may not insert an implant as well. If you have implants after a breast lift and you can't "pinch an inch," you can consider getting teardrop breast implants.

Whatever implants you get, textured breast implants will help them fill out your breast, since they're said to grab the breast wall like Velcro. If you're thinner with smaller breasts, textured breast implants may cause a rippling (like water, not teardrops) effect if they're placed above the breast muscles--so if you're supermodel thin, textured breast implants under the breast muscles will work best for you. After all, you may or may not wear those earrings, but your breasts will be with you for the rest of your life.

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The fat appears to be dissolving in the cheeks of my face. It started about five months ago and has given me a very sunken appearance. Eight months ago I had a sinus lift and extensive dental work. Both the surgeon and dentist say the two are not related. Can you help?

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