Article: Polyurethane Foam Breast Implants and Capsular Contracture

Aug 2, 2011 by

Here is a post and link from Australia with some very good information about Polyurethane breast implants- aka The Furry Brazilian- and capsular contracture.

I found this section on capsular contracture very interesting:

“There are a variety of potential causes for capsular contracture these ultimately have a direct or indirect effect on the inflammatory process of the scar formation. Typically scarring caused by thermal injury when controlling bleeding during dissection of the breast pocket. Also haematoma’s and seromas predispose to the possibility of infection or at least bacterial contamination causing worsening inflammation of the scar matrix being formed around the implant. Smokers are known to have an increased risk of most if not all of the complications associated with breast augmentation. It is therefore recognised that capsular contracture rates rates are higher in smokers.”

The part regarding smoking caught my eye. Look, it’s simple, smoking is not attractive, you are spending a good deal of money on breast implants to have a more attractive body. Why smoke? Especially if it could lead to capsular contracture and cause the need for a re-operation following a breast augmentation.

The comments regarding haematoma, seroma and bleeding should also be noted- this is why it should be stressed to choose a great doctor with extensive experience performing breast augmentation. A great doctor will be well trained and experience on the best implantation methods to reduce haematoma and will have post-augmentation protocol and follow up to monitor your condition.

This is interesting as well:

In Adelaide and Sydney capsular contracture rates are approximately 3-5% of patients that have Breast Augmentation with Breast Implants. Around the world capsular contracture rates can be as high as 16-17% (Allergan study and submission to FDA). Naturally Cosmetic Surgeons are keen to reduce their rates of capsular contracture as occurrence of grade III and grade IV capsular contracture will entail further corrective surgery.”

I wonder how the capsular contracture rate of 3-5% was determined? Mathematically, that is a very broad range as 5% is 40% greater than 3%…and that would be an amazingly low rate of capsular contracture based on the 16-17% number referenced from the study.

The discussion regarding Polyurethane foam implants is great- more and more discussion about polyurethane foam covered silicone gel breast implant should be taking place. Just look at what is written in that article:

“Their rates of capsular contracture are estimated to be approximately 1% (based on limited studies from Brazil only)” and “Having used these Implants in a number of highly specific patients I and the patients to date have been very happy with the results. They have produced “perkier” and formed breast shapes with upper pole fill; as well as helping with Grade I and very mild Grade II ptosis (droop) by making the skin and breast tissues stick to the underlying Polyurethane foam and therefore effecting a “lift” without the scars.”

Damn impressive! So why aren’t more people discussing Polyurethane foam mammary implants? And considering what can be done to reduce capsular contracture following breast augmentation?

This is what the Furry Brazilian wants discussed and the reason for this website!

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