Breast Surgery To Know List 7. no touch technique breast augmentation

How to prevent capsular contracture?

This is a frequently asked question.

There are many who are concerned that the breast implant in the breast becomes stiff and strong.

I have shared many times about the reasons behind the capsular contracture, but we do not know the reason for sure.

However we assume from various data from tests on animals that the skin resonance such as staphylococcus epidermidis surrounds the implant which makes the epithelium thick and contracts causing the capsular contracture.

Therefore, the initial prevention of the capsular contracture could be the surgery under condition where there is absolutely no germ around. One must be sure that the implant does not interact with the breast tissue and the skin does not get infected during the surgery.




I use sterilized clean wrap type of film that I put on the breasts for the surgery. (This is called clean draping)

 
We may not be able to see the germs on the skin so we do the surgery by avoiding the process of touching the skin.

The cohesive gel implant that you put into a small inlet cannot lose its form, therefore, we put in the implant by using the funnel and pushing in the cohesive gel. In this way, we can avoid touching the skin and the glove that could be infected.



We call this a “No touch technique”.
When we use this no touch technique, we can minimize the infection on the implant and also minimize the chances that the skin resonance getting in also.

Areola incision can cause the skin strain getting into the pocket. But if we use the “no touch technique” then the implant can get into the pocket without being infected.

We must minimize the chance of the implant touching the outer environment even after we have put the implant into the pocket. The best method for this would be minimizing the surgery time.





If the wound is open for longer time, then the germs, virus, etc in air can infect the implant. This too can be the cause of the capsular contracture.

There is another frequently asked question such as what type of implant avoids the capsular contracture.

This is not a correct question to ask, because if there is a type that avoids capsular contracture and another type that causes capsular contracture, people around the world would only use the type that avoids the capsular contracture.

The polyurethane coating gel of the implant must dissolve completely into the skin in order to avoid the capsular contracture, but we do not know for sure if the polyurethane is the cause. We have to wait for the announcement of the FDA in order to know this for sure.




It is not the type of the implant but how the surgeon does the surgery that determines whether one avoid the capsular contracture or not.

Another concern on the capsular contracture is bleeding.

If there is much bleeding during the desquamation, then this means that the skin is suffering much stress.
We believe that such stress on the skin causes the capsular contracture by causing more epithelium.





Can you avoid capsular contracture?

My answer to this question is that we can try the avoid it therefore we must try to avoid it. I think that a quick “No touch technique” can minimize the chance of this trauma.

There are many who say that the massaging and the preventing medicine could minimize the chance of capsular contracture but there is no data that proves this. This is just a thought of some people. It is important to conduct a very clean status surgery.

Thank you for reading.
Have a great day.