Each doctor has his own list of breast implant capsular contracture prevention; however, there are generally accepted guidelines such as the use of completely sterile equipment during operation to avoid low-grade bacteria and contamination.
Normally, the body creates a thin, flexible scar capsule around any synthetic material. Capsular contracture after breast augmentation surgery occurs when for some reason the scar tissue grows and thickens exponentially, leading to visible deformity and pain.
Should capsular contracture occur, the thick scar capsule is removed together with the implants.
Meanwhile, renowned Los Angeles plastic surgeon Dr. Tarick Smiley has recently posted Snapchat videos in which he explained some of his guidelines that are believed to minimize the risk of capsular contracture.
In one of his Snapchat videos, he was seen irrigating the implant pocket—i.e., behind the muscle where the prosthesis would be positioned—with antibiotic solutions prior to implantation. The goal, he said, was to sterilize the area to minimize risk of infection tied to capsular contracture.
To further minimize risk of capsular contracture, Dr. Smiley advocates breast implant massage for the rest of the prosthesis’ life.
In another Snapchat video, Dr. Smiley explained that the “core idea” behind breast implant massage, or medically referred to as implant displacement exercise, is to ensure that the scar capsule will remain soft, flexible, and thin.
The leading plastic surgeon typically recommends starting breast implant massage about a week after surgery. Despite some initial discomfort, he said that vigorous displacement of the prosthesis could provide benefits such as lower capsular contracture rate and more natural look and feel.
Studies involving breast implant capsular contracture prevention have suggested that most cases occur within the first three weeks, thus at this stage all efforts must be done to maintain the scar capsule’s flexibility and to avoid poor wound healing and other sources of infection.
Because poor wound healing and infection are closely tied to capsular contracture, Dr. Smiley said he only operates on healthy patients who will fully cooperate with him, particularly when it comes to “preparations” such as complete avoidance of tobacco products, second-hand smoke, aspirin, and aspirin-like products a few weeks leading up their surgery.
The goal is to achieve one’s optimal health prior to surgery, thus reducing or even avoiding potential risks, said Dr. Smiley.