Overview of the surgery:
Breast Capsulectomy is the surgical procedure to remove capsules which have formed around breast implants. These capsules can thicken and so squeeze the implants which will distort the appearance of the breasts. This surgery can be done on one of both breasts and depends on the position of the capsule and the level of irritation caused by its presence. Your surgeon will open the scar tissue of the capsule which releases the tension, and remove this. He will then make an incision on either the crease underneath the breast, the armpit or the edge of the areola. This is where the new implant will be inserted. The incisions are then closed with fine stitches which are either dissolvable or non-dissolvable ones. He will place tapes over the stitches for additional support. A light dressing will also be put in place.
Duration of the operation:
This surgery takes around 1.5 hours to 3 hours to perform
Post operative care:
Vital signs will be checked. Surgical drains may still be in place. Early ambulation is advised to prevent formation of blood clots. Breasts will feel sore and bruised and will disappear gradually. A general anesthetic can make you feel groggy, nauseous and disorientated for up to 48 hours. You will have some pain but this can be controlled with pain medication. You will have to wear a special bra for a couple of weeks. You will also have to keep the dressings in place for that time. Make sure they do not get wet. Avoid any unnecessary bending, stretching or physical activity. You should get plenty of rest although you may be able to do some light activities after a couple of days.
This will depend on the individual patient however most patients are able to go back to work after a couple of days. Do not undertake any sports or other physical activities for at least 7 to 10 days.The average recovery time is between 1-2 weeks.
Possible risk and complications:
This procedure is safe but complications do happen. The risks include: infection, bleeding, a loss of or reduced nipple sensitivity, ability to breastfeed is lost or affected, capsular contracture could re-occur, blood clots, nerve injury, breast asymmetry, etc.
Usually done under general anesthesia
This procedure may be performed in the cosmetic surgeon’s office-based facility, an outpatient surgery center, or at a hospital. This procedure is usually done on an outpatient basis
Preparation before Surgery
- Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
- Get a baseline mammogram before surgery and another one after surgery to help detect any future changes in your breast tissue.
- Blood and urine samples will be collected for routine preoperative laboratory tests.
- Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
- You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
- Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.
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