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Unhappy with your breast implants?

Consult with one of San Francisco’s Top Doctors, board-certified plastic surgeon Miguel Delgado Jr. M.D. Correcting aesthetic and medical complications due to problematic breast augmentation surgeries is one of his specialties. Read about the main surgical techniques he employs in breast implant replacements, watch videos of the doctor and patients to know what to expect, and view actual patients before and after photos to evaluate the results.

Tag Archives: sub-glandular

Prevention of Capsular Contracture

 

Miguel Delgado, M.D. Cosmetic Plastic Surgeon

Miguel Delgado, M.D.
Cosmetic Plastic Surgeon

 

 

 

 

 

 

 

 

 

 

★★★★★  Ratings: 4.74 -118 Reviews

 

Breast Capsular Contracture|San Francisco,CA

 

San Francisco, CABreast Capsular contracture is defined by Wikipedia as a response by the body’s immune system to a foreign object such as a breast implant. The result is the formation of collagen fibers that tighten and squeeze the breast implant.

The cause of capsular contracture, for the most part, remains unknown. Dr. Delgado tells his patients it is not possible to guarantee that a woman will not get a capsular contracture. While it is not always known what may be the cause, there are new theories and  ongoing studies being presented. In general, it is believed a low grade infection or excessive inflammation may be to blame. In particular bio-films have been implicated as the possible primary cause of capsular contracture. Bio-films are bacterial colonies surrounded with a covering protecting them from antibiotics and the immune system. Bacteria present during surgery may create a bio-film around a breast implant. The result may be a low grade infection without puss or becoming red, swollen or hot in the manner of infections that we are familiar with. Bio-film inflammation may cause a thick, tight capsule around the implant.

Before and After Breast Revision Surgery

Before and After Breast Revision Surgery

 

Breast Implant Contracture prevention option

 

There are preventative measures that can be taken to reduce the risk, and women who have a propensity to form capsular contracture should discuss all possibilities with their surgeon.

1.    It appears that the placement of the implants can make a difference. Partial or complete placement of the implants under the muscle versus on top of the muscle has been proven to have less incidence of capsular contracture. It is believed that when implants are placed over the muscle they come into contact with bacteria that can be harbored in the ducts of the breasts.

2. The peri-areolar incision seems to have a higher incidence of capsular contracture than the inframmary approach.

3.    Textured breast implants were designed to reduce the incidence of the development of scar tissue. However, there does not seem to be any advantage for implants under the muscle and a slight advantage for implants placed over the muscle.

4.    Massaging after breast augmentation surgery is believed to help keep the pocket open and reduce the likelihood of capsular contracture. However, it is not recommended for textured implants as they are supposed to adhere to tissue and massaging could interfere with this.

5.    Vitamin E is known to thin the blood and must be avoided 2 weeks before and two weeks after surgery. The use of vitamin E after 2 weeks postoperatively may be of benefit. It is believed that vitamin E softens the collagen fibers, and the capsule is made up of collagen fibers. There are not any studies that neither support nor disprove the use of vitamin E.

Check With Your Plastic surgeon about Breast Contractures| San Francisco, CA

 

Whatever methods are tried, be sure you have the approval of your surgeon. Every patient is unique, and your surgeon will be able to advise you as to what is best for you.

 

Call the Expert

 

Dr. Delgado has been doing breast revision surgery since 1988 and is an expert in his field. Call (415 898-4161) or email (info@dr-delgado.com)today for a personal consultation for any breast revision issues.

How Do Sub-muscular and Sub-glandular Breast Implant Placement Differ? Can I Change?

Also known as “over” and “under,” Dr. Delgado says many patients ask, “Which is best?” Dr. Delgado prefers under the muscle for a more natural look. However, this is something to be discussed at length during the initial consultation as each patient is unique.

Sub-glandular placement, referred to as “overs,” means the implant is placed above the pectoralis muscle but under the Breast implant placementmammary gland.

Sub-pectoral placement, referred to as “unders.” Because of the nature of the pectoral muscle, the implant is only partially under the muscle, leaving the lower half of the implant uncovered.

Sub-muscular placement, also referred to as “unders,” is fully under muscle. In addition to the pectoralis muscle that covers the upper portion of the implant; other muscles cover the bottom half.

According to clinical studies, it is believed that capsular contracture is reduced when implants are placed sub-pectoral or fully sub-muscular.

For women who do not have much breast tissue, the under muscle approach reduces the chances of visible rippling.

Technology has improved greatly over the years for mammograms taken with and without implants. However, it is believed that implants under the muscle are less likely to interfere with the mammogram imaging.

Dr. Delgado states that changing position from over to under should not be a problem.

He invites you to call (415) 898-4161 or email (info@dr-delgado.com)for a consultation if you are considering any type of breast revision surgery. Dr. Delgado has been specializing in breast surgery for women and male breast reduction surgery for men since 1988.