Yes, the Aspen Ultrasound System is a unique non-invasive treatment that combines deep sound wave (ultrasound) therapy with targeted massage to painlessly break up excess scar tissue and release the capsule. For patients with mild to moderate cases of capsular contracture, this treatment can help relieve pain and difficulties and help the breast implant take a more natural position without having to suffer the cost, recovery time and risks of a second surgery. Under the muscular placement (subpectoral or partially submuscular) of the implant, the risk of capsular contracture is reduced to about 8-12% during your lifetime. Above the muscle (in front of the muscle, submammary or subgobolous) has a 12-18% chance of capsular contracture. Complete underwear (completely undermuscular or completely ascial submuscular) offer even more protection, reducing the risk of capsular contracture to 4-8% during your lifetime. If you are a good candidate for Aspen therapy, this painless procedure can treat and reverse capsular contracture. Contact a board-certified plastic surgeon to learn more about this procedure. You may want to consider corrective surgery for capsular contracture if it causes chronic pain, limited range of motion, and/or changes in breast position and shape. Sometimes, however, patients who have already had breast augmentation experience a condition called capsular contracture. If you suspect this has happened to you, we have some good news. Capsular contracture can be successfully treated, both to relieve your symptoms and to restore an aesthetic shape and appearance of your breasts. The photos below show a patient who was fitted with silicone implants 25 years ago and presented in my office with silicone torn bilateral implants and capsule contractures. The image on the left shows the entire breast (fuzzy black), capsule (grey) and implant (white).
The image on the right is a close-up of the capsule surrounding the implant. There are several ways to prevent capsular contracture, including: The main limitation of this study is that only a few clinical trials on conservative treatment of capsular contracture have been available for review. A systematic review of experimental studies on conservative treatment of capsular contracture may be more fruitful. The Dr. Revis « No-Touch » technique believes in contactless technology. In this method, the sterile package containing the implants is opened only when they are ready to be inserted into the body. No one but Dr. Revis takes care of the implants. He resterilizes the skin of the breasts with betadine, renews the surgical field around the breasts with new sterile towels and replaces his own gloves. He washes the surface of his new gloves to remove the powder, and only then will he touch the implants. When implants are inserted into the body, he ensures that the implants are not allowed to touch the instruments, the patient`s skin or the sterile curtains surrounding the surgical field. In this way, the likelihood of surface contamination on implants can be low once they are in the body.
All of these measures help ensure that no foreign substances accumulate on the implant, which could inflame the surrounding tissues and lead to complications such as capsular contractures. The computer-aided search was conducted in September 2019. The main search included the keywords « capsule contracture » and « breast implants » as well as « treatment » and included publication data from January 1, 1975 to September 1, 2019, resulting in 869 articles. By filtering through observational studies, controlled trials, patient population and English language, 713 articles were recovered. After eliminating the articles by title check according to a priori criteria, 10 articles were completed. Further review of articles and addition of contributions after manual reference checks resulted in a total of 19 articles that met the inclusion criteria (Figure 1). If you think you have a capsule contracture, do not hesitate. Call Dr. Comizio again today at (973) 775-9248. Capsular contracture is usually diagnosed during a physical examination by a plastic surgeon. You may find that one or both of your breasts are no longer as soft as they used to be or are starting to harden, your breasts may look or feel different, or you may feel some discomfort as you tighten the capsule. The appearance of any of these signs should make you aware of the need to have your breasts examined by a plastic surgeon as soon as possible.
Some women in New Jersey who undergo breast revision surgery do so to change the size of their implants. Others undergo breast revision to replace ruptured or leaking implants. And some women undergo breast revision surgery to fix the problems after their initial breast augmentation. Many New Jersey women who have had breast augmentation in the past and now have hardened, deformed, or misplaced breast implants wonder if a breast revision can repair capsular contracture or hardening of the scar tissue around the breast implant. Read on to learn more about this condition and how a breast revision by Dr. Comizio can help resolve capsular contracture. The fact that the capsule appears to jump shows the significant compressive forces exerted on the implant by the thickened capsule. For this reason, capsular contracture often leads to an increase in breast strength. This study is recorded in PROSPERO (CRD42019135252: Non-surgical treatments for breast capsular contracture: a systematic review of clinical studies; recorded April 6, 2020).
Ethics Committee approval was not required as it was a systematic review of previously published studies. Of course, complications during plastic surgery are now very rare, both because of advances in surgical techniques and because we can better predict which patients are likely to have surgical complications. Patients prone to the development of thick scar tissue may be advised to avoid plastic surgery, or their surgeon will use special surgical techniques that allow remote incisions to be placed (for example. B, the insertion of breast implants through an incision in the armpit) to keep scars largely out of sight. Patients with weakened immune systems or autoimmune diseases are often advised to refrain from surgery and choose less invasive forms of aesthetic enhancement. Similarly, there are a number of procedures that can be used after surgery, such as the Aspen rehabilitation technique, to treat complications and improve the patient`s appearance. One of the most common areas where aspen is used is the treatment of capsular contractures after breast augmentation. Another mechanism of action of NSAIDs is the inhibition of lipoxygenase (antileukotrien). Leukotrienes are involved in the inflammatory cascade and are believed to be involved in the formation of capsular contractures. Leukotriene antagonists zafirlukast and montelukast are prescribed to treat asthma.
Studies have shown that they cause an improvement in the appearance of scars as a positive side effect, and by lateral thinking, doctors began using these drugs to improve capsular contracture.13,20 In 2005, Reid et al.17 used zafirlukast 20 mg twice daily twice daily for 6 months in 23 patients with capsular contracture, noting that 75.7% of them had a complete or partial dissolution of capsular contracture. Zafirlukast was also used in three studies at Sapienza University in Rome.2,18,19 In 2006, Scuderi et al.18 used zafirlukast orally at 20 mg twice daily twice daily in 20 women and reported that all treated breasts responded completely or partially. In 2007, Scuderi et al.2 again conducted a comparative study between a group of 108 patients treated orally with Zafirlukast 20 mg orally for 6 months for 6 months and a group of 108 patients who received vitamin E at 400 orally twice daily for 6 months. The authors noted a significant decrease in breast compliance levels after 6 months in the Zafirlukast group, but not in the vitamin E group. In another study by the same team, the reduction in breast adherence while taking medication was greater (22.5% at 6 months), then gradually decreased to 5.47% over the 1-year follow-up period after discontinuation of the drug.19 The use of zafirlukast should be carefully monitored, as normal doses have been reported to cause liver failure, which is manifested by anorexia. Pain in the right upper quadrant, itching or jaundice. The onset of hepatocellular dysfunction is 2 to 18 months after starting treatment with Zafirlukast.19 In 2010, Huang and Handel21 used Montelukast 10 mg for 90 days in a number of 17 patients, noting a 26% improvement and a 37% complete resolution. The authors could not find a correlation between treatment duration and response to treatment.
Other rare complications of breast augmentation surgery, such as hematomas and seromas (blood clots that sometimes form after invasive surgery), would increase the risk of capsular contracture. Some researchers believe that these blood clots increase the likelihood of capsular contracture by providing bacteria with a rich supply of nutrients (in the form of blood), thus promoting the growth of the biofilm. .