Breast Augmentation: Concerns About Capsular Contracture and Safety

Breast augmentation

Hello doctor, my breast size is not very large.
Recently, I am considering breast augmentation surgery.
However, I undergo regular breast cancer screenings every year.
The doctor informed me that there is fibrocystic change in my breasts.
I am concerned whether, after the augmentation, if there are any lumps that need to be removed, will it risk rupturing the saline implant?

Xiao Min, 30~39 year old female. Ask Date: 2000/11/14

Dr. Luo Qihua reply Plastic Surgery

Currently, breast augmentation methods involve placing the implants either beneath the pectoralis major muscle or beneath the breast tissue.
When placed under the muscle, the implants are less likely to be damaged during excision of any lumps.
However, if the implants are placed beneath the breast tissue, an experienced surgeon will typically avoid damaging them unless the patient's breast tissue is poorly developed or the lump is particularly deep, and the patient has informed the surgeon of these conditions.

Reply Date: 2000/11/14

More Info

Breast augmentation is a popular cosmetic procedure that many women consider to enhance their breast size and shape. However, it is essential to address concerns regarding capsular contracture and the overall safety of the procedure, especially for individuals who undergo regular breast cancer screenings.

Capsular contracture is a condition that can occur after breast augmentation, where the scar tissue that forms around the implant tightens and hardens. This can lead to discomfort, changes in breast shape, and in some cases, the need for additional surgery to correct the issue. The risk of capsular contracture varies depending on several factors, including the type of implant used, surgical technique, and individual patient factors such as genetics and the body's healing response.

Regarding your specific concerns about the presence of fibrous tissue (which you referred to as "籤維化") and the potential for needing to remove hard lumps after augmentation, it is crucial to have a thorough discussion with your surgeon. If you have a history of fibrous tissue formation, your surgeon may recommend specific strategies to minimize the risk of complications. For instance, using textured implants or placing the implants under the muscle can sometimes reduce the likelihood of capsular contracture.

As for the concern about the saline implant rupturing during the removal of fibrous tissue, it is important to note that saline implants are designed to be durable. However, any surgical procedure carries risks, including the potential for accidental damage to the implant. Your surgeon will take precautions to minimize this risk, and they will be experienced in handling such situations.

If you are undergoing regular breast cancer screenings, it is essential to inform your healthcare provider about your plans for breast augmentation. They may recommend a specific timeline for your screenings before and after the procedure to ensure that any changes in breast tissue can be monitored effectively. Regular mammograms and breast exams are crucial for early detection of any potential issues, including breast cancer.

In summary, while breast augmentation can enhance your appearance and boost your confidence, it is essential to weigh the benefits against the potential risks, including capsular contracture and the implications for future breast health monitoring. Open communication with your surgeon about your medical history, concerns, and expectations will help ensure that you make an informed decision that aligns with your health and aesthetic goals. Always prioritize your safety and well-being, and consider seeking a second opinion if you have any lingering doubts about the procedure.

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