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COVID-19 Reopening Updates View Update Virtual Consultation

Capsular contracture is one of the most common complications associated with breast augmentation both in San Diego and across the country. Unfortunately, it is a complication that we, as plastic surgeons, do not fully understand. This makes it a very frustrating problem for both patients and doctors alike. There is no way to predict, before surgery, who will have this problem, which makes it even more of a challenge. Fortunately, this is not something that is terribly frequent in breast augmentation surgery, but it does happen in approximately 5 to 10% of patients.

There are several current thoughts as to why this happens in patients, but even in the scientific community is not fully understood. It happens almost equally in patients with both saline and silicone implants, and more often than not, it will happen only on one side. This makes understanding capsular contractures even more of a challenge.

There are several potential ways in which we can help minimize the occurrence of this in our patients. As a result, we have made every effort to implement all of these potential cutting-edge techniques to help improve our patient’s overall breast augmentation experience. Firstly, we use very specific antibiotics to help purposely treat the bacteria that is commonly on the breast and within the breast’s ductal system – as these are unique organisms found to be associated with capsular contracture from breast augmentation. Secondly, the majority of patients we see in San Diego, undergo placement of the implant beneath the chest muscle which also reduces the risk. Then, the breast undergoes a second “sterile prep” to help remove any unwanted bacteria that can hide within the breast ducts. Next, the implant is inserted with the use of a Keller funnel which significantly limits the exposure of the implant to the surrounding breast skin. Studies have shown that the use of the Keller funnel will reduce breast implants’ exposure to bacteria by 27 times. This is remarkably significant.

The breast implant is only handled by the surgeon, and the breast is rinsed with a triple antibiotic solution prior to inserting the implant itself. Finally, the breast pocket is immediately closed after insertion to again help limit the exposure of the implant to any of the potential causes of capsular contracture.

Although we haven’t cured capsular contracture, we have found a way to significantly reduce the incidence of this problem for our breast augmentation patients and will continue to be on the cutting edge for our San Diego and Southern California patients.

If you are interested in knowing more about your options for the correction of capsular contracture in San Diego or Southern California, call our office at 858-638-9800 or schedule a consultation online.

*The content in this blog is developed to spread the awareness towards plastic surgery. Our blog is not intended to serve as a replacement for an actual in-office consultation with Dr. Marin. As such, the information within this blog reflects the unique cases of our individual patients.

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In light of the state wide restrictions on non-essential businesses to help reduce the spread of COVID-19, we are rescheduling all of our elective appointments until the global circumstances improve. Our necessary post-operative appointments will be made, as needed, to address immediate surgical concerns such as suture removal and acute postoperative issues. All non-acute follow up appointments, fillers and Botox will need to be postponed until after the quarantine period mid April. Our office will reach out to all patients who need to be rescheduled.

We will be offering new patient virtual consultations online and via Skype that can be scheduled through our website or by emailing Also, we will offer follow-up appointments in the same manner to help manage our patients’ concerns while still respecting the need for social distancing.

We appreciate all of your understanding during these difficult times for all of us.

Stay safe,

Dr. Main and the Marin Aesthetics Team