Capsular contracture is one of the most common complications that a person might get after she has undergone breast augmentation. There could be several reasons why this condition occurs. Aside from the kind of implant used in the surgical procedure and the shell of the implant, the placement of the implant could also be the reason why capsular contracture develops in the patient. Basically, there are two anatomical locations for implant placement in the breast. The implant could be placed either below the muscle of the chest or above it.
Studies show that placing an implant under the muscle can decrease the incidence of capsular contracture. When an implant is placed under the muscle, the pectoralis major muscle is dissected from the lower part of its attachment and then a pocket is created under the muscle. Then the implant is inserted. It is believed that as the pectoralis major muscle essentially squeezes the implant during daily activities and movement, the implant is compressed and released, breaking any scar that is forming and making capsular contracture. This means that the muscle massages the implant. Another theory is that the space created under the muscle is less likely to create a contracture than the pocket above the muscle because of the vascularity of the muscle. In addition, some believe that because the muscle is more vascular, it is less prone to infection.
Having a capsular contracture should not be feared of because it can be avoided with the right procedures. Before you go through breast augmentation, make sure that you will discuss this concern with your surgeon. You have to be aware where the implant will be placed. Most implants are placed under the muscle since this decreases the risk of having capsular contracture. Aside from this complication implant rippling and implant palpability are less likely to develop.
September 30, 2016
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