That’s why you shouldn’t
cut too much muscle
But in some cases,
(Your breast is supposed to be here...) this whole area is empty
because the muscle rolled up
and pulled the implant up with it
There are some pretty shocking cases like that
SHINYU CLINIC
When I think about getting breast surgery.. Capsular contracture really worries me..
[That’s what we worry about to :(] Even for doctors, capsular contracture is the biggest concern
Other issues are usually fixable
but with this
we don’t know the exact cause
and there’s no perfect cure
That’s what makes it so difficult
So doctors tend to
talk about the things they’re most concerned about
which means capsular contracture comes up a lot
And because of that, patients hear about it over and over
and start to worry, too
But the truth is, the risk isn’t actually that high, so try not to stress too much about it
Capsular contracture… why does it even happen?
[Cause of Capsular Contracture = Muscle?] The muscle is actually the biggest issue
To insert the implant
especially to create cleavage
[Shifting Breast Position - By Cutting Chest Muscles] we often have to cut the muscle in this area
But if you cut too much of it
[It Rolls Up?!] some people end up with the muscle rolling up
But in some cases
(Your breast is supposed to be here...) this whole area is empty
because the muscle rolled up
and pulled the implant up with it
There are people like that
There are some pretty shocking cases like that
That’s why you shouldn’t
cut too much muscle
PD) So pushing the surgery too far might actually lead to capsular contracture?
That's actually true
PD) I thought it had more to do with body type..
[That’s the Basic Truth] Basically, it's your body type
That’s just how it is
And it’s not like we can change someone’s body type
Relax
How do you treat capsular contracture?
In my case,
I use scissors to release like this
We use a tool called Metzenbaum scissors
Usually, people use an electric cautery called a Bovie
but that takes longer
and can damage the surrounding healthy tissue
We don’t use the Bovie
[Using Metzenbaum Scissors to Separate the Capsule] We open up the area with scissors instead
which actually makes the surgery easier
These days, it only takes about 15 minutes per side
PD) So is capsular contracture treatment about removing the capsule?
Treatment for capsular contracture? You just have to remove the capsule entirely!
That's actually the only known method
PD) So I saw someone online who developed contracture,
and they posted several questions like
“Can contracture be treated with injections or antibiotics?”
They're scared of having another surgery
Since it's fibrotic tissue,
[Steroid injections can help] steroid injections can help, they do loosen it up a bit
But the affected area is so wide
that it’s not easy to treat with steroid injections
In that case, it's better to just remove the entire capsule
[You'd have to come in regularly...] You’d have to come in every few weeks for continuous injections
[Surgery is the better option in that case...] I feel sad
PD) I’ve seen people taking medication to prevent contracture
But I’ve heard it might not actually be effective…
There are studies that say it works,
and others that say it doesn’t
That’s why, in our clinic,
while other hospitals might prescribe three months’ worth,
we usually recommend taking it for just three to four weeks
Medicine is really complex
We can only say things like,
“This method seems more likely to work,”
or “This approach might be a bit better”
[There’s No Clear-Cut Answer…] It’s not as simple as saying, “Just do this and you’ll be fine”
There isn’t one, and that’s what makes it so difficult
PD) I heard capsular contracture is closely related to the immune system
PD) so, would getting enough sleep help prevent it?
[Same thought] I actually think so too
Capsular contracture is basically your body reacting abnormally
So if you eat well and sleep well,
I think it could help prevent
the excessive formation of fibrous tissue
If you’re not getting enough sleep,
inflammatory cells just go wild
Like those who get pimples right after a bad night's sleep (PD can definitely relate to this..)
PD) So that’s not just a myth, right?
I actually think there’s a solid basis for it
PD: 'Does drinking or smoking a lot increase the risk of capsular contracture?'
Of course they do
You’re basically
abusing your body with alcohol and cigarettes how could you expect it to heal properly?
Even with a regular wound, if you drink or smoke, it doesn’t heal well
PD) Then in the same sense
PD) “Can healthy eating habits help prevent contracture?”
I think that's true
Healthy eating habits prevent construction?
I think that's true
It also reduces the probability of spherical construction
You'll feel better
PD) That was an obvious question
But actually, that's the important thing to say
"The important things are usually obvious, but there are things that are hard to keep"
[Maybe the answer was close..? (Tearful..)] I know how to lose weight,
but I can't do that..
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