Decreasing breast surgery|Breast surgery

Breast surgery

Capsular Contracture:

When a layer of fibrous tissue surrounds or encapsulates the implant it is called capsular contracture.  Occasionally, excess scar tissue develops around the implant resulting in a hard, often tender breast. 

This may progress to the point where breast asymmetry occurs, necessitating a second operation through the same incision to remove the fibrous tissue. 

Decreasing breast surgery and With the advent of submuscular augmentation, the incidence of capsular contracture has marketedly decreased: approximately 1 in 20 women (5%) will develop a firm breast capsule.  The exact cause of breast capsular contracture is unknown.

With submuscular breast enlargements, most breasts that are soft

This is most likely due to an unrecognized hematoma in one breast causing an increased amount of scarring around one of the implants.  To re-establish breast symmetry, surgical correction is necessary.

Decreased Breast Sensation:

It is common to notice a change or decrease in breast sensation for the first 3 to 6 weeks following surgery.  Usually, normal sensation returns. 

Approximately 1% of women, however, will have a permanent change in nipple sensation.  This is usually caused by damage to the nerves of the nipple, which could be due to surgical injury or compression by the implant or scar tissue.

Infection:

Decreasing breast surgery and this is such a rare complication of breast surgery that most surgeons do not place their patients on pre-or post-operative antibiotics. 

It is possible that a low-grade infection around the implant is responsible for capsular contractures, but this has not been scientifically confirmed.

Some individuals mistakenly associate the above complications as signs of human adjuvant disease (HAD).  This is not the case.  These are localized problems related to the surgery and unrelated to the immune system.

Will there be a scar?

Breast surgeon and there is a scar approximately 4 cm (1 ½ inches) long in the inframammary fold, around the nipple, or in front of the armpit, depending on where the incision was made.  The scar in the umbilicus is smaller when the TUBA technique is used. 

As a general rule, these scars take from 12 to 24 months to heal completely from a red line to a fine white line, but this varies from patient to patient.  If the scar is visible, it may be camouflaged cosmetically.  Nothing can be placed on the incision (for example, vitamin E) that will speed healing or reduce the size of the scar.

Breast surgeon and If the scar is problematic and does not heal to a fine white line the appearance may be improved with laser surgery.  The type of laser and the technique used will depend on the components of the scar to be treated. 

If it is red, a vascular laser may be used.  A pigment removal laser is used for brown discoloration and a carbon dioxide laser for resurfacing an uneven scar.

How much bigger will the breast be?

Breast surgeon and most women increase one or two breast sizes; that is, from a 34A to a 34B or C or from a 36A to a 36B or C.  A larger breast may be made, if so desired.

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