What Is Capsular Contracture?

Enveloping contracture is a common complication of breast augmentation with prosthesis implantation. Generally refers to the formation of an envelope around the prosthesis after breast augmentation.

Capsular contracture

Right!

Enveloping contracture is common with breast implants and

Enveloping contracture is a common complication of breast augmentation with prosthesis implantation, which may occur at any time after surgery. Generally refers to

1. The quality and characteristics of the prosthesis found that the matte type

The cause of capsular contracture is not very clear, and may be related to the following factors:

The types of prostheses, such as the rate of capsular contracture of saline-filled prostheses, are much lower than those of silicone gel prostheses, and the matte prostheses are significantly lower than the smooth prostheses.

The location of the implant. The prosthesis implanted under the pectoralis major muscle has abundant blood flow around it, and the chest muscles continue to squeeze and rub the prosthesis, which greatly reduces the incidence of capsular contracture.

Postoperative hematomas and infections not only increase the incidence of capsular contractures, but also greatly advance the time of occurrence.

Grade I breasts are soft.

Grade becomes slightly hard and can be reached

Select high-quality matte prosthesis

Clean gloves during operation to avoid prosthesis from contacting foreign bodies

Pay attention to hemostasis, place drainage tube for 3 to 5 days after operation

Prophylactic antibiotics

The posterior pectoralis major space is preferred for implant placement

Oral Chinese medicines such as Fukang tablets are taken orally after surgery to improve

Method 1. Select the appropriate breast augmentation material: According to the actual situation such as height, weight and thinness, chest shape and body proportion, choose a breast implant with smooth surface and appropriate size. For those with a standard weight of less than 1.6m, a prosthetic breast augmentation material of 140ml to 160ml should be used; for those with a standard weight of 1.6m to 1.7m, a prosthetic breast augmentation material of 180ml to 200ml should be used; Breast augmentation material for more than 200ml.

Those who are below or over the standard weight should appropriately reduce or increase the number of milliliters of the prosthesis. Applicants should carefully check the quality of the prosthesis, whether the capsule is smooth, whether there are any abrasions or scratches, and squeeze it from different directions and angles to observe whether the capsule is thick and uniform. Pay particular attention to whether the seal is evenly and firmly attached. No cracks.

Method 2. Do the cleaning and disinfection of breast augmentation materials: one day before breast implant augmentation, rinse with water and neutral soap water twice, then rinse with normal saline, remove impurities on the surface, and load Autoclave and sterilize in clean metal box (temperature: 121 15 20min). Due to the electrostatic adsorption of silicone rubber, cleaned prostheses should avoid contact with cotton yarn, chemical fiber fabrics, and talc to prevent foreign matter from forming on the surface and cause rejection reactions.

Method 3 : The operation process should be meticulous: the operation should be gentle and meticulous to minimize tissue damage. The pectoralis major deep space stripping must be completely removed, and the cavity should be wide enough (its diameter is 1cm or more than the diameter of the breast prosthesis). Fetters. After the implantation operation, gently pat or rub the breast with your hand to make the prosthesis fully stretch in the cavity without wrinkles.

Method 4. Prevent hematoma and infection after operation

Intramuscular injection of 0 mg intramuscularly on the day before prosthetic breast augmentation or intramuscular injection of 10 mg of Anluo blood 1 h before the operation, 0.4 g of hemostatic aromatic acid was injected intravenously on the day after prosthetic breast augmentation.

Thorough hemostasis during prosthetic breast augmentation. Place two drainage tubes in the wound. Closely observe the drainage volume and properties within 24 to 48 hours.

local use of antibiotics and hormones in the breast.

Infuse breast implants were filled with physiological saline (according to the size of the prosthesis) plus dexamethasone 10mg, gentamicin 80,000 , and the prostheses were flushed with antibiotics and placed in the cavity. Antibiotics were routinely applied for 1 week after breast augmentation Keep your breasts clean to reduce the risk of hematomas and infections.

Generally, the massage is started from 3 to 5 days after the operation. The intensity of the breast prosthesis is better, twice a day for 20 minutes each time. After the thread is removed, the intensity can be gradually increased.

Adjuvant therapy: Take an appropriate amount after breast implant augmentation. If a wound is found or there is a small amount of exudate, and the skin is hard, it can be treated for 3 to 7 days.