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Peña Plastic Surgery

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Home » Peña Plastic Surgery Blog » Prevention of the hard breast after breast augmentation

Prevention of the hard breast after breast augmentation

January 3, 2011

Our current theory on the main cause of capsular contracture (hardening of the breasts after breast augmentation) is that of a 'Biofilm' as a causative agent. This is a low population "infection" that hangs out on the surface of the implants and secretes a mucous layer that protects the bacteria from getting destroyed by the bodies defenses. The number of bacteria is so low that it rarely leads to frank infection but still causes the body to try to protect itself by walling it off. This in effect causes the naturally thin interface between the body and the implant to thicken and eventually tighten.

Many causes have been attributed to causing this. Among these infection, hematoma, early sun burn, leaking or ruptured implants, etc. These factors do have something to do with it but themain culprit seems to be the "Biofilm". The 'no touch' insertion technique has long been touted as the best way to prevent this contamination that seems to occur as the surface of the implant comes into contact with the skin surface (even after the skin has been treated with an antiseptic scrub). Until now the ' no touch' was easier said than done especially when I was putting large implants through small incisions. This could explain the small but significant difference in the capsular contracture with saline implants compared to silicon implants. The saline implants are placed empty and have minimal contact with the skin upon placing the implant into its final resting pocket.

The addition of a triple antibiotic wash has been quite helpful in minimizing the capsular contractures.. but the real breakthrough in my practice came about 9 months ago when I began using the Keller Funnel in all my silicon breast augmentations. This is a simple sterile paper delivery system that looks like a pastry bag. Much faster placement of the implants without them coming in contact with this skin. there is much less trauma to the implant and the skin in the process! I decided not to pass the cost of this device onto my patients since eventually I would benefit from not having to treat and often re operate on these hard breasts.

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Naples plastic surgeon, Dr. Manuel Peña’s website provides information on cosmetic surgery in the Naples, Fort Myers, Bonita Springs, & Estero, areas in Florida. This information is not to be taken as medical advice. Site powered by PUMC with copyrights reserved to dr-pena.com © 2023. This website does not contain medical advice and the use of this website does not create a physician/patient relationship between you and Dr. Manuel Peña. The photographs of models displayed on the headings and borders of this web site are for decorative purposes only. *Individual results may vary. Consult with Dr. Peña to see if you are a candidate. See before & after photos of Dr. Peña’s patients for possible results.