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That’s why you shouldn’t

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cut too much muscle

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But in some cases,

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(Your breast is supposed to be here...)
this whole area is empty

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because the muscle rolled up

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and pulled the implant up with it

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There are some pretty shocking cases like that

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SHINYU CLINIC

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When I think about getting breast surgery..
Capsular contracture really worries me..

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[That’s what we worry about to :(]
Even for doctors, capsular contracture is the biggest concern

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Other issues are usually fixable

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but with this

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we don’t know the exact cause

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and there’s no perfect cure

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That’s what makes it so difficult

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So doctors tend to

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talk about the things they’re most concerned about

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which means capsular contracture comes up a lot

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And because of that, patients hear about it over and over

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and start to worry, too

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But the truth is, the risk isn’t actually that high,
so try not to stress too much about it

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Capsular contracture… why does it even happen?

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[Cause of Capsular Contracture = Muscle?]
The muscle is actually the biggest issue

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To insert the implant

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especially to create cleavage

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[Shifting Breast Position - By Cutting Chest Muscles]
we often have to cut the muscle in this area

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But if you cut too much of it

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[It Rolls Up?!]
some people end up with the muscle rolling up

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But in some cases

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(Your breast is supposed to be here...)
this whole area is empty

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because the muscle rolled up

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and pulled the implant up with it

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There are people like that

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There are some pretty shocking cases like that

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That’s why you shouldn’t

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cut too much muscle

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PD) So pushing the surgery too far 
might actually lead to capsular contracture?

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That's actually true

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PD) I thought it had more to do with body type..

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[That’s the Basic Truth]
Basically, it's your body type

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That’s just how it is

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And it’s not like we can change someone’s body type

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Relax

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How do you treat capsular contracture?

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In my case,

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I use scissors to release like this

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We use a tool called Metzenbaum scissors

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Usually, people use an electric cautery called a Bovie

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but that takes longer

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and can damage the surrounding healthy tissue

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We don’t use the Bovie

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[Using Metzenbaum Scissors to Separate the Capsule]
We open up the area with scissors instead

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which actually makes the surgery easier

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These days, it only takes about 15 minutes per side

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PD) So is capsular contracture treatment about removing the capsule?

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Treatment for capsular contracture?
You just have to remove the capsule entirely!

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That's actually the only known method

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PD) So I saw someone online who developed contracture,

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and they posted several questions like

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“Can contracture be treated with injections or antibiotics?”

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They're scared of having another surgery

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Since it's fibrotic tissue,

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[Steroid injections can help]
steroid injections can help, they do loosen it up a bit

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But the affected area is so wide

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that it’s not easy to treat with steroid injections

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In that case, it's better to just remove the entire capsule

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[You'd have to come in regularly...]
You’d have to come in every few weeks for continuous injections

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[Surgery is the better option in that case...]
I feel sad

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PD) I’ve seen people taking medication to prevent contracture

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But I’ve heard it might not actually be effective…

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There are studies that say it works,

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and others that say it doesn’t

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That’s why, in our clinic,

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while other hospitals might prescribe three months’ worth,

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we usually recommend taking it for just three to four weeks

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Medicine is really complex

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We can only say things like,

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“This method seems more likely to work,”

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or “This approach might be a bit better”

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[There’s No Clear-Cut Answer…]
It’s not as simple as saying, “Just do this and you’ll be fine”

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There isn’t one, and that’s what makes it so difficult

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PD) I heard capsular contracture is closely related to the immune system

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PD) so, would getting enough sleep help prevent it?

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[Same thought]
I actually think so too

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Capsular contracture is basically your body reacting abnormally

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So if you eat well and sleep well,

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I think it could help prevent

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the excessive formation of fibrous tissue

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If you’re not getting enough sleep,

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inflammatory cells just go wild

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Like those who get pimples right after a bad night's sleep
(PD can definitely relate to this..)

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PD) So that’s not just a myth, right?

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I actually think there’s a solid basis for it

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PD: 'Does drinking or smoking a lot 
increase the risk of capsular contracture?'

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Of course they do

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You’re basically

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abusing your body with alcohol and cigarettes 
how could you expect it to heal properly?

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Even with a regular wound, 
if you drink or smoke, it doesn’t heal well

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PD) Then in the same sense

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PD) “Can healthy eating habits help prevent contracture?”

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I think that's true

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Healthy eating habits prevent construction?

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I think that's true

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It also reduces the probability of spherical construction

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You'll feel better

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PD) That was an obvious question

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But actually, that's the important thing to say

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"The important things are usually obvious, 
but there are things that are hard to keep"

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[Maybe the answer was close..? (Tearful..)]
I know how to lose weight,

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but I can't do that..

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