After breast augmentation, many women become concerned about developing complications such as capsular contracture and implant shifting. It is not always known why some women develop these complications and others do not, but a safe and simple way that may help prevent problems is by routinely practicing post surgical breast massage.



Capsular contracture is not common, but the reasons for its occurrence are largely unknown, which means any woman can be considered susceptible. Capsular contracture is an extreme reaction to a foreign substance that is placed in the body. In a successful breast augmentation, the tissue around the breast implant will form scar tissue inside the body that will be invisible on the skin's surface. When Capsular contracture occurs, the scar tissue squeezes too tightly around the breast implant, visibly pinching the skin that surrounds it.

The condition of capsular contraction can range from mild to severe. In mild cases, the skin may only appear tight in a few areas around one or both breasts, or may only be visible upon close inspection. Women with more extreme forms will find that their breasts look tightly squeezed and will feel physical discomfort that can spread all the way into their underarms. Although not a life-threatening problem, it often causes emotional distress.

Many plastic surgeons believe that post operative breast massage can successfully eliminate or reduce the risk of capsular contracture. Not all surgeons will recommend this treatment and it's best to consult with your own before attempting on your own. It is generally recommended only to women who have used smooth breast implants.

During breast massage, you'll be gently shifting the implant around in the pocket created for it during surgery. By moving the pocket, you're helping it to remain open, preventing scar tissue from constricting too tightly around it. All you do is squeeze the implant and try your best to move it around within the pocket. Actually compressing the implant softly with your hands is also a common method. You should be able to move it up and down as well as to both sides of the breast.

You should wait to begin massages for a few days after your surgery. At first you will still have bruising, swelling, and tenderness, so be gentle. The technique is normally performed once every few hours. Some surgeons believe continuing massage throughout the lifetime of your breast implants is necessary; others may give you a shorter time frame. It is best to follow your surgeon's specific directions.

Even with post operative breast implant massage, risks and complications can occur at any time. It is important to follow all of your surgeon's directions and to immediately report any suspicious conditions. If capsular contracture does occur, the only solution is a revision breast augmentation or complete implant removal. And even with revision, capsular contracture can return. Before committing to any cosmetic procedure, be informed and aware of all possible health risks and choose a skilled surgeon.