Breast augmentation is a safe procedure with high patient satisfaction rates. But, like all surgeries, it does carry some risk of complication. Possible complications include changes in nipple sensation, a noticeable scar, infection and capsule formation. All are rare but can occur.
Capsule formation is due to inflammation leading to scar (capsule) formation around the implant. This is usually due to some form of bleeding that occurs after the surgery. The capsule that is formed can distort the breast and make it misshaped. Correction involves some form of capsule modification. This can take the form of scoring, partial excision or complete excision. I have had good luck with partial and complete excision. Sometimes this isn't enough though and the capsule can return for whatever reason.
In these cases, and they are few and far between, after removing the capsule, a tissue matrix is placed where the capsule used to be in the the lower portion of the breast and the implants replaced. This has led to a soft breast with good shape. It can be done on one or both breasts to better match the result.
If you are having this problem, I would be happy to see you. You can also send photos to my personal attention at jabs@cosmeticplastics.com
All the Best,
Dr. J
Monday, December 5, 2011
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