capsular contracture -- overs vs. unders

by moongal 12th July 2011, 2:26 am

Hi Ladies,

Here in the US, plastic surgeons are very quick to state that implant placement under the pec muscle reduces the risk of capsular contracture (cc). I am wondering if anyone knows if this is a significant risk reduction or only minor?

In addition to getting teardrop shaped implants, it seems like ladies outside of the US tend to get their implants placed over the muscle more often, so I was wondering what the docs say elsewhere about the risk of cc...

thank you

by kiwigirl 12th July 2011, 2:52 am

I'm planning on having overs, but my surgeon and I didn't discuss higher risks of CC in terms of placement, but rather in regard to implant coating.

He is going to use 'furry brazilian' implants - which I don't think are available in the US - and the outer coating on them is supposed to reduce the risk of CC down to around 1%, which is apparently a much lower rate than any other style of implant... but maybe I should ask him a few more questions about the risks of cc at my pre-op, and see if the coating kind of cancels the placement risk...?!

by LiL SIS 12th July 2011, 3:28 am

just a bit of a copy and paste about the 'brazillian implant if your interested

Brazilian implants, with a
textured covering made from polyurethane, are now available in
Australia. They already have a long history of use overseas.
Their safety profile is well
documented and in particular their main advantage in reducing the post-
operative risk of capsular contracture is well known.
For the conventional
implants, the latest data from the core studies before the American FDA reports
there is a 16.8% risk of capsule hardening by 8 years. However, long
term follow up studies on the Brazilian implants have this risk at only
1% by 15 years. While capsule contracture will not harm you, it
is frequently uncomfortable and embarrassing, as the build up in scar
tissue can compress the underlying implant into a tight ball. The
surgery to repair this is often difficult with a longer recovery period
than the original surgery.
An additional benefit of the Brazilian implant is that they have a
minimal chance of displacement or moving out of position, due to the
adherence of their unique texture to the surrounding tissue.

This is particularly useful if you would like a “teardrop” type shape.
The conventional teardrops have a high incidence of rotation while the
Brazilians have a negligible risk of moving.

by kiwigirl 12th July 2011, 3:56 am

Thanks Lil Sis!! That's an awesome explanation! I think that's pretty much what my PS told me, but put in better terms that my babble of an explanation...! Rolling Eyes

by moongal 12th July 2011, 5:33 am

That is very informative!!!!! Many thanks to you both!

xoox Give You

by yettiricey 12th July 2011, 10:59 am

Hi Ladies

I had unders and got capsular contracture. I was considering the Brazilian type of implant but decided against it as my surgeon had mentioned that they can be difficult to remove if required. Another surgeon said this is only for the first 6 months though....maybe it's something you should consider or check out.

I have not heard that CC is more or less likely with overs or unders and my surgeon said if all ladies with implants lived a long life they would all get it at some point!

I've had a reop now and very much hope not to get it again.

Y
x

by misf1 12th July 2011, 4:17 pm

I would think it would depend more on whether you are having silicone or saline as saline has a greater risk of rippling (as it's less form stable) so placement with partial unders would reduce the rippling. Whether you get CC or not can be due to many factors. The only reason unders or partial unders are supposed to reduce the % risk of CC is the muscle moving constantly maniplulates the capsule that forms around the implant and this is supposed to stop it forming too hard a capsule. However this doesn't always work and as Yetti said the liklyhood is that you will develop CC as time goes on.

by Doony 16th August 2011, 1:49 pm

when do u know that u have passed the risk of getting capsular contraction ?

by misf1 16th August 2011, 2:01 pm

The risk increases as years go on. You never pass a time. The risk I'm afraid is always there

by **RoxyChick** 16th August 2011, 3:39 pm

Everyone has a degree of CC as it's the body's way of dealing witha foreign body.

Some surgeons will say that overs carry more of a risk, but as far as I'm aware I'm yet to see studies that prove why this is, or if it's even the case.

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capsular contracture -- overs vs. unders

capsular contracture -- overs vs. unders

Re: capsular contracture -- overs vs. unders

Re: capsular contracture -- overs vs. unders

Re: capsular contracture -- overs vs. unders

Re: capsular contracture -- overs vs. unders

Re: capsular contracture -- overs vs. unders

Re: capsular contracture -- overs vs. unders

Re: capsular contracture -- overs vs. unders

Re: capsular contracture -- overs vs. unders

Re: capsular contracture -- overs vs. unders

Re: capsular contracture -- overs vs. unders