WHAT IS POTTING OR IS CAPSULAR CONTRACTURE?

When you're placing a breast prosthesis, designing a pocket where it will be placed the same.

Normally, the body, in the presence of a foreign body, creates a connective tissue that surrounds and isolates it completely. This tissue forms a coating around the prosthesis with a soft consistency in the form of a thin film, which will not alter the shape or position of the prosthesis.

We call this peri-prosthetic tissue capsule, and exists in all patients undergoing breast prostheses.

Encapsulation and capsular contracture occurs when the tissue that forms is too thick, too fibrous, much harder than usual, and determines that the initial cavity is changed, sometimes in position, causing the implant to move, usually to up and sometimes size, shrinking it and making the prosthesis does not fit in the socket, so you can form folds and take the form of "ball" or "ball" features.

If the encapsulation occurs in one breast, one can observe an asymmetry, and if on both sides, the breasts will be felt harder than normal, but can maintain symmetry.

The causes are multiple and sometimes encapsulation unknown. Among well-known are the hematomas, infections or contamination of the implant, the lack of mobility in the postoperative period, the individual patient hyperreactivity, bruises, exudation of gel implant rupture and the same.

To prevent the occurrence of encapsulation are the most important preventive measures to be applied carefully and closely monitor the evolution of periprosthetic tissue formation in order to detect the occurrence of capsular contracture in its early stages and begin treatment appropriate in each case.

WHEN TO CHANGE THE IMPLANTS?

Most implants have a manufacturer warranty of 10 years duration, which does not mean that this is the actual duration of these.

The current gel implants highly cohesive, with 5 layers of coating, we offer greater security as to the duration of the implant once introduced into the body.

The actual time will leave knowing durability as the years go by and observe the evolution of operated patients.

Our view is that if you notice that your breasts are fine, ie if there is no problem, it is unnecessary Replace the prosthesis.

In the case of inconvenience or suspected implant rupture, diagnostic tests should be performed to rule out or confirm the rupture.
 
However, the intervention for the replacement of the prosthesis is much simpler than the initial implant placement, except that it has been long delayed and the body has formed a capsule around defensive.

TO GIVE BREAST FEEDING AFTER A BREAST AUGMENTATION?

The fact of carrying a breast implant does not contraindicate breast-feeding, the possibility of breast-feeding depends on the preservation of the integrity of the mammary gland, ie in the absence of injured ducts through which milk must move.

This is achieved through axillary always, the path of submammary and in some cases of track areolar.

Not recommended for the possibility of breastfeeding in most cases via areolar, when combined with mastopexy and in most cases of tubular breasts.

THE FACT OF BREAST PROSTHESIS OPERATOR MAY HINDER THE DIAGNOSIS OF A BREAST TUMOR?

I think this paragraph is very important and of great concern to patients.

Breast tumors, whether benign or malignant are very common, affecting one in 10 women throughout their lives.

In the many studies performed on patients who have breast implants, NO has been observed that there is increased frequency of breast lumps.

If observed, and this is beneficial for patients, these lesions were diagnosed in very initial stages, due to improved tenderness and postoperative controls are practiced.

The problem arises as to the radiological diagnosis of early breast lesions. Obviously, surgery on the breast incident leaves a mark on it, and may be confusing at first differential diagnosis on the images under consideration.

Our advice, in this case is as follows:

- If history of familial breast cancer in patients with fibrocystic mastopathy or breast of difficult evaluation by the gynecologist or radiologist, would be indicated as a first option and axillary retropectoral situation.

- Radiologist should be informed of the intervention performed, which test and decide the most appropriate projection for each case.

WHAT IS INFORMED CONSENT?

Before surgery, the surgeon has to deliver all documents relating to the benefits and possible complications that may arise.

This documentation is specific to each surgical procedure, and should be read and understood before being signed by the patient.

This document is called informed consent, and which allows the surgeon to practice the procedure, and it is imperative to give it before surgery.

We use written informed consent and distributed to its members by the SECPRE (Spanish Society Aesthetic Reconstructive Plastic Surgery)

WHAT IS THE IDEAL SIZE FOR ME?

The size, shape and type of implant to be placed should be decided jointly between the patient and surgeon.

Using images other part patients can get a rough idea of the desired volume, but still you should carry a personal measurement tests.

Using images other part patients can get a rough idea of the desired volume, but still you should carry a personal measurement tests.

During the visit with the surgeon practice measurements and tests that will help us decide the most appropriate volume for each patient taking into account your personal tastes.

If you have questions or you want more information, please contact us in the clause.