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Capsular Contracture (CC) and how might we help avoid it?

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Capsular Contracture(CC)and how might we help avoid it?

  1. Quality and nature of the implants. Those with the lowest rate of CC are sometimes designated ‘New Generation’ implants. The term refers to the quality of manufacture. The features of these implants that set them aside from others is that the production process is mainly automated (so reducing the chance of human error), and they contain 100% pure silicone and the shell of the implant has several layers.
  2. The presence of blood around the implants after its insertion. The presence of blood around the young capsule is a known potent cause of CC. The walls of the pocket (space made for the implant) ‘weep’ blood stained serum in the first hours after operation. This should be removed by drain tubes. These are removed 24 hours after operation.
  3. The implants should not come in contact with the skin. Contact with the skin is considered a potent cause of CC. The use of a plastic sleeve such as the ‘Keller Funnel’ can completely avoid this.
  4. Damage to the implant from excessive handling, especially during the manipulation at the time of insertion, is a potential cause of CC. This can be avoided by use of a sleeve (see 3, above)
  5. Infection. This can be avoided by attention to sterility during the procedure and the appropriate use of antibiotics before, during and after operation. *A recent investigation by a reputable research team identified a 10x greater chance of infection with textured-surface implants as opposed to those with a smooth surface.
  6. DO NOT MASSAGE THE BREASTS AFTER SURGERY. *This practice, advised to supposedly reduce the occurrence of CC, is potentially a potent cause of CC! The capsule is especially sensitive to trauma in the first few months post-operatively while it is still maturing.
  7. The use of natural anti-inflammatories post-operatively might help avoid CC. When the capsule becomes irritated it becomes inflamed and this causes it to thicken and shrink (contract). Medical anti-inflammatories can have potent undesirable side effects. The use of natural anti-inflammatories such as the Omega 3 fish oils and Curcumin might help in reducing the rate of CC. Also, vitamin E might be useful since it is known to soften collagen, and collagen is the substance of which the capsule is comprised.
  By Bruce Fox [2015-02-17]

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