Capsular contracture
is the development and tightening of a mass of scar tissue that occurs around some silicone breast implants. It presents as mild, moderate, or severe pain, along with shrinking and deformity of the breasts. The extent of the contracture dictates type of treatment required.
Non-surgical Options
Noninvasive and preventive options include drug therapy, breast massage, and ultrasound. Anti-inflammatory and muscle relaxants such as zafirlukast (Accolate) or papaverine can be taken to reduce the chances of developing capsular contracture. Ultrasound is an external stimulus that may soften tissue around the implant.
Surgical Options
If contracture develops, surgery may be necessary to alleviate the pain. Capsulectomy fully removes the capsular body that has formed. Capsulotomy removes portions of the capsule to break it up and is preferable if a partial capsule has formed.
Closed Capsulotomy
Closed capsulotomy is the non-surgical precursor to less dangerous surgical choices. It is considered to be extremely painful and no longer practiced by most cosmetic surgeons. One major risk involved is rupture of the implant. Manufacturers of breast implants strongly advise against this procedure.
Prevention
Your surgeon should take all precautions to avoid capsular contracture. It is wise to discuss this condition with him before having implant surgery. Be fully aware of the methods and after-care needed to make an informed decision.
Tags: breast implants, capsular contracture
