Unique in Romania! Capsular Contracture Guarantee
The capsular contracture phenomenon is the only factor that cannot be quantified and generally prevented.
For this reason, capsular contracture is the number one complication from the patient’s point of view.
As a general rule the capsular contracture phenomenon appears from 6 months to 3 years after surgery; there are also isolated cases of such type of complication which appear even later but with a very reduced incidence.
Capsular contracture has four grades according to Baker’s classification, which are clinically delimited:
- Grade 1- Breast of normal consistency
- Grade 2- Breast of slightly increased consistency, which is a little firmer on palpation with a smaller degree of mobility
- Grade 3- The breast is firm, rigid, has extremely reduced mobility and in some cases breast deformation begins having a tendency “to rise up” to the superior pole and getting a fusiform shape.
- Grade 4-Breast which is rigid, painful on palpation or even permanently, altered shape, advanced towards the superior pole, unaesthetic shape.
The evolution of capsular contracture differs from one patient to the other and there is no universal, widely accepted treatment scheme.
The reasons for the apparition of capsular contracture are still the subject of international scientific debate, and the conclusions are that it is caused by a series of causative or possibly causative factors; the truth is a combination of these factors:
- Biological factors – 5-10% of the cases in which the body creates an excessive scar around the implant, which thickens over time, because of the excess of miofibroblasts, fibroblasts also affecting from an inflammatory point of view the surrounding tissues.
- Bacterial factors – a bacterial contamination of the implant and the formation of a Biofilm at the level of capsular contracture – the type of bacterial colony extremely resistant to treatment – which causes chronic inflammation through a subinfection. This contamination can occur most often because of a limited surgical technique, which allows direct contamination from the level of the tegument – skin – or the level of the mammary gland – in the galactofore channels there is a very large quantity of Staphylococcus – by sectioning it. Also, there is this risk at the very cheap and low quality implants – “Pffers”. The majority of the observed types of infections was with Mycobacteria Fortunatum.
- The subglandular positioning of the implant – through bacterial contamination at the level of the gland.
- The use of “soft” responsive implants 8,3% risk of capsular contracture, compared with the ones with Cohesive Gel 1,5%; it must be understood that only a few producers have cohesive gel – FORM STABLE, Allergan, Mentor – and this risk percentage is only for this type of implant – the 5th Generation of breast implants.
- The smooth-surface implants have a higher risk degree than the textured ones. The best textured implants are from Allergan, Inc which reach a 600 microns texture, BIOCELL, fact which allows the body to actually “grow” at the level of the implant coating, forming a “tampon” area between the foreign body and the body, also because of this fact the risk of implant rotation is almost inexistent.
- Postoperative hematoma because of the surgical technique – “Blind” dissection with the finger, the use of drains (the external entrance gate of infections) etc.
The treatment of capsular contracture is made depending on its grade:
In Grade 2, the treatment is systemic and a scheme of treatment which involves antibiotics, anti-inflammatory, Vitamin E, Accolate leukotriene inhibitors, as well as local massage, is used. Following this treatment scheme, 80% of this type of contractures remit. For this reason it is important that the patients understand to go to the doctor at the first symptoms of capsular contracture.
In the case of Grade 3 and 4 capsular contracture, the treatment is surgical and consists in extracting the implant, the excision of the contractile capsule – capsulectomy – the latest research in the field has proved that a complete excision of it reduces the risk of capsular contracture reappearance, the positioning of a new implant. The surgical treatment is considered to be a risk taken by the patient, this is why this resurgery is paid by the patient.
In our clinic we have a unique offer in Romania: Capsular Contracture Guarantee !
It works like a regular insurance policy and covers on a 5-year pos-toperative period any cost caused by the appearance of capsular contracture – surgery, the price of the implant, treatment, aneasthesia, admission to the clinic, bandages.
The guarantee can only be issued on the day of the surgery, costs 400 Euros, and the payment must be made immediately.
This policy can only be issued for the patients who choose Allergan Natrelle 410 (MATRIX) implants and submuscular emplacement of the prosthesis.
The policy covers the costs of the intervention and of the treatment only in the case in which the patient continues the treatment in our clinic; if the patient undergoes medical or surgical treatment with other doctors, the policy becomes null.
The policy covers solely the CAPSULAR CONTRACTURE complication, not other local or systemic post-operative complications.
The patient is compelled to present to the compulsory post-operative check-ups: 7, 14, 30 days, 3, 6, 12 months and annually in the first five years, to have breast echographies done annually. Failure to comply with post-operative check-ups annuls the insurance.
In the case of Allergan Natrelle 410 implants it must be known that the implant rupture is covered by Allergan, Inc; therefore, in such an unfortunate case, the company changes for free the implants and the patient receives in the first 10 post-operative years the amount of 1000 euros to cover the surgery expenses.