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John S. Lee, MD | NW Plastic Surgery Portland

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4085 SW 109th Ave, Suite 200, Beaverton, OR 97005 503-228-5432
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Managing Capsular Contracture After Breast Implant Surgery

July 2, 2024

Portland breast implant surgery Dr John S Lee

Common Complications of Breast Implant Surgery

John S. Lee MD article

Breast implant surgery can provide many with a boost in confidence and satisfaction with their appearance. However, it’s important to be aware of potential complications, one of the most common being capsular contracture. This condition can significantly impact the outcome of the surgery, leading to discomfort and aesthetic concerns.

What is Capsular Contracture?

Capsular contracture occurs when the scar tissue naturally forming around a breast implant tightens and compresses the implant. This tightening can cause the breast to feel firm, become misshapen, and sometimes result in pain or discomfort. The severity of capsular contracture is classified using the Baker Grading System:

  • Grade I: The breast feels normally soft and looks natural.
  • Grade II: The breast is a little firm but still appears normal.
  • Grade III: The breast is firm and looks abnormal or distorted.
  • Grade IV: The breast is hard, painful, and appears abnormal.

Causes of Capsular Contracture

The exact cause of capsular contracture is not fully understood, but several factors can contribute to its development, including:

  • Infection: Bacterial contamination can provoke an inflammatory response.
  • Hematoma: An accumulation of blood around the implant can promote the formation of excessive scar tissue.
  • Seroma: Accumulation of serous fluid around the implant may cause tissue irritation.
  • Bacterial Contamination: Even minimal bacterial presence can trigger a significant immune response.
  • Implant Rupture or Leakage: This can directly irritate the surrounding tissue.

Treatment Options

The treatment for capsular contracture varies depending on its severity. Here are some common approaches:
• Non-Surgical Methods: These include massage, medication, and ultrasound therapy. These methods aim to soften the scar tissue and alleviate discomfort.
• Surgical Interventions: For more severe cases, surgical options like capsulotomy (releasing the scar tissue) or capsulectomy (removing the scar tissue) are considered.

Dr. Lee, a highly experienced surgeon in this field, emphasizes the importance of thorough treatment. For patients undergoing breast implant removal, Dr. Lee performs a capsulectomy to ensure complete removal of any remaining scar tissue and foreign matter, providing a comprehensive solution to capsular contracture.

Capsular contracture is a challenging complication of breast implant surgery, but understanding its causes, symptoms, and treatment options can help manage and mitigate its effects. If you are experiencing symptoms of capsular contracture, consulting with an experienced surgeon like Dr. Lee can provide you with the best approach to achieve a satisfactory outcome.

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