How do I decrease the chance of capsular contracture with my breast augmentation?
Capsular contracture is hardening of the scar tissue that surrounds the breast implant. There are a number of theories as to why this develops, but the most accepted at this time is that bacteria colonize around the implant and stimulate the contracture to occur.
So how do I decrease the risk?
There are a few things that you can do to help decrease the risk. First, discuss with your plastic surgeon your incision choice. Research has shown that the lowest incidence of contracture is using the inframammary incision, the one in the breast fold. My published paper was the first in the literature to show this was the case.
What else can be done?
Another important issue in prevention is irrigation of the breast pocket at the time of breast augmentation. Data shows that irrigation of the breast pocket with a dilute Betadine solution prior to implant insertion dramatically decreases the risk of contracture. I have multiple publications in the literature that show this to be true.
Are there any other things I can do?
Following instructions from your plastic surgeon regarding implant massage if you get smooth implants for your boob job may also help. Although it is possible to still get capsular contracture even when doing all of the above, these techniques of