Capsular Contractures and Breast Augmentation

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 patient and doctor 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 breast augmentations, 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 patients 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 the breast implants exposure to bacteria by 27 times. This is remarkably significant.

The breast implant is only handled by Dr. Marin, and the breast is rinsed with 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 to schedule a formal in-office consultation with Dr. Marin.

About the Author:

Dr. Vince Marin is a San Diego board-certified plastic surgeon specializes in cosmetic surgery of the face, nose, breast and body. If you wish to contact Dr. Marin, write to [email protected] or you can follow him on Twitter!