Implant Capsular Contracture
Breast Implantation
Breast Implants
Contracture
Propionibacterium
Inferior pedicle autoaugmentation mastopexy after breast implant removal. (1/5)
(+info)Hyaluronan, TSG-6, and inter-alpha-inhibitor in periprosthetic breast capsules: reduced levels of free hyaluronan and TSG-6 expression in contracted capsules. (2/5)
(+info)Subpectoral and precapsular implant repositioning technique: correction of capsular contracture and implant malposition. (3/5)
(+info)Effect of zafirlukast on capsular contracture around silicone implants in rats. (4/5)
(+info)The use of acellular dermal matrices in two-stage expander/implant reconstruction: a multicenter, blinded, randomized controlled trial. (5/5)
(+info)Capsular contracture is a complication that can occur after a breast augmentation or reconstruction surgery, where the body forms a capsule (a normal biological response) around the foreign material, such as a breast implant. However, in capsular contracture, this capsule tightens and squeezes the implant, causing the breast to feel hard, painful, and sometimes misshapen. It is classified into four grades (I-IV) based on the severity of symptoms, with grade IV indicating the most severe form, characterized by significant pain, implant palpability, and distortion.
Breast implantation is a surgical procedure where breast implants are placed in the body to enhance the size, shape, and/or symmetry of the breasts. The implants can be filled with either saline solution or silicone gel and are inserted through incisions made in various locations on the breast or around the nipple. The goal of the procedure is to improve the appearance of the breasts and may be performed for cosmetic reasons, as part of a breast reconstruction after a mastectomy, or to correct congenital deformities.
The procedure typically involves making an incision in one of several locations:
1. Inframammary fold: This is the most common approach and involves making an incision in the crease beneath the breast.
2. Periareolar: This approach involves making an incision around the areola (the dark-colored skin surrounding the nipple).
3. Transaxillary: This approach involves making an incision in the armpit and creating a tunnel to the breast pocket.
4. Transumbilical: This is the least common approach and involves making an incision in the belly button and creating a tunnel to the breast pocket.
Once the implant is placed, the incisions are closed with sutures or surgical tape. The procedure typically takes 1-2 hours and may be performed as an outpatient procedure or require an overnight hospital stay. Recovery time varies but typically involves wearing a compression garment for several weeks to support the breasts and minimize swelling.
It is important to note that breast implantation carries certain risks, including infection, bleeding, scarring, capsular contracture (scar tissue formation around the implant), implant rupture or deflation, and changes in nipple sensation. Regular follow-up with a healthcare provider is necessary to monitor for any potential complications.
Breast implants are medical devices that are inserted into the breast to enhance their size, shape, or fullness. They can also be used for breast reconstruction after a mastectomy or other medical treatments. Breast implants typically consist of a silicone shell filled with either saline (sterile saltwater) or silicone gel.
There are two main types of breast implants:
1. Saline-filled implants: These implants have a silicone outer shell that is filled with sterile saline solution after the implant has been inserted into the breast. This allows for some adjustment in the size and shape of the implant after surgery.
2. Silicone gel-filled implants: These implants have a silicone outer shell that is pre-filled with a cohesive silicone gel. The gel is designed to feel more like natural breast tissue than saline implants.
Breast implants come in various sizes, shapes, and textures, and the choice of implant will depend on several factors, including the patient's body type, desired outcome, and personal preference. It is important for patients considering breast implants to discuss their options with a qualified plastic surgeon who can help them make an informed decision based on their individual needs and goals.
A contracture, in a medical context, refers to the abnormal shortening and hardening of muscles, tendons, or other tissue, which can result in limited mobility and deformity of joints. This condition can occur due to various reasons such as injury, prolonged immobilization, scarring, neurological disorders, or genetic conditions.
Contractures can cause significant impairment in daily activities and quality of life, making it difficult for individuals to perform routine tasks like dressing, bathing, or walking. Treatment options may include physical therapy, splinting, casting, medications, surgery, or a combination of these approaches, depending on the severity and underlying cause of the contracture.
Propionibacterium is a genus of gram-positive, rod-shaped bacteria that are commonly found on the skin and in the mouth, intestines, and genitourinary tract of humans and animals. They are named after their ability to produce propionic acid as a major metabolic end product. Some species of Propionibacterium, such as P. acnes, are associated with skin conditions like acne vulgaris, where they contribute to the inflammatory response that leads to the formation of pimples and lesions. Other species, such as P. freudenreichii, are used in the food industry for the production of dairy products like Swiss cheese and yogurt. Propionibacterium species are generally considered to be non-pathogenic or opportunistic pathogens, meaning that they can cause infection under certain circumstances, such as when the immune system is compromised.
Dupuytren contracture is a medical condition that affects the hand, specifically the fascia, which is a layer of connective tissue beneath the skin of the palm. In this condition, the fascia thickens and shortens, causing one or more fingers to bend towards the palm and making it difficult to straighten them. The ring finger and little finger are most commonly affected, but the middle finger and thumb can also be involved.
The exact cause of Dupuytren contracture is not known, but it is more common in men than women and tends to run in families. It is also associated with certain medical conditions such as diabetes, seizures, and alcoholism. There is no cure for Dupuytren contracture, but treatments such as surgery or needle aponeurotomy can help relieve symptoms and improve hand function.