breast augmentation before and after implants

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breast augmentation before and after implants

hi, i'm dr. frank lista here at the plasticsurgery clinic and we're doing consultations today where patients come in and talk to meabout surgery. and i've had a few patients in the last couple of days ask me the samequestion: "can my body reject a breast implant?" well, here's a breast implant. this is a cohesivegel breast implant, one of the most common implants that we use. they also come in saline.so the short answer is no. you can't reject a breast implant the way you would rejectan organ, like a kidney transplant. that reaction - rejection - is an autoimmune reaction, ora reaction where your immune system attacks the organ. that doesn't happen with breastimplants because they don't initiate an autoimmune response. so the answer is no, you can't getrejection, and i've never seen it, i've been

a plastic surgeon for 25 years and i've neverread about it in the medical literature. your body, though, can react to an implant, givingyou a condition called capsular contracture. capsular contracture is a condition whereyour body forms scar tissue around the implant. if you have too much scar tissue, then thescar tissue can get tight and squeeze the implant and make your breasts feel hard. ifit's really hard, it could actually hurt, but otherwise the breast looks fine but justfeels hard when you touch it. it's not your breast going hard, and it's not your implantgoing hard, it's just the scar tissue squeezing the implant like this, and when you touchit that makes it feel hard. so that's called capsular contracture. it's not a rejection,it's a reaction to the implant. so people

say, well what happens if i get capsular contracture?well, first of all, it's really rare, somewhere between 1 and 3% - super low. in fact, we'vejust published a paper showing, with smooth implants placed in our clinic, over 1,000cases, our capsular contracture rate is 1.3%, the lowest published rate of any capsularcontracture paper in the world, and so that's really good. if you are one of the unlucky1 or 2% to get that, then there's an operation we can do to fix it, and that operation goesin, we change the implant and release the scar tissue, and that usually works. sometimes,though, it doesn't work and if it doesn't work then the patient has a choice: eitherlive with the implant the way it is, or remove it. and if you remove it, the hardness goesaway. lots of people decide just to leave

it if the second operation fails and if theyleave it, the breast looks okay, it just feels hard if you touch it. so the answer is: no,you can't reject, your body can't reject an implant, you can develop capsular contracture,which is scar tissue, but that's pretty rare and we can usually fix it. and our super lowrate of capsular contracture is just a reflection of how well we do things here at the plasticsurgery clinic because we want your operation to look great and we want it to be super safe.so thanks for watching, follow us on twitter and youtube and keep updated on the websitebecause we're always changing it and adding to my blog and putting in video logs. thanksfor watching.

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