Dr Safvat only uses newer 5th generation implants, which means the risk of capsular contracture is significantly reduced.
History of Breast Implants
The first breast implant was done in 1962 by Cronin & Gerow in the US. These 1st generation implants were viscous silicone in a thick shell. They had a very high incidence of capsular contracture.
The 2nd generation implants were developed in mid to late 70’s and had a less viscous silicone, inside a thin smooth shell. This resulted in less capsular contracture but increased the incidence of the shell rupturing and the silicone gel leaking out.
The 3rd generation implants were developed in the early to mid-80’s to stop shell failure. The shell was more sophisticated and stronger.
The 4th generation implants had the same shell as the 3rd generation implants but the surface was roughened and called textured surface. This again has been shown to decreased capsular contracture in the sub-glandular implants.
The 5th generation implants are like the 4th but the silicone gel inside is cohesive gel. This decreased the chance of leaking even if the shell was ruptured.
The capsular contracture rate of the new textured cohesive gel implants (5th generation) is less than 5% for cosmetic augmentation and 15% for breast reconstruction post-mastectomy. It increases to 40% in post-radiotherapy (Breast Cancer) patients. Dr Safvat only uses newer 5th generation implants, which significantly reduces the chance of capsular contracture.
Breast Implant Removal Technique
If capsular contracture is present, the capsule (scar tissue) and the implant will need to be surgically removed. An incision is made under the breast to avoid obvious scarring and to provide better access for removal of the capsule. If the patient’s wish is to also have new implants, they are placed in the same pocket or in a new pocket depending on the patient’s breast shape and position.
Dr Safvat only uses newer 5th generation implants from top quality companies, which significantly reduces the risk of capsular contraction. The procedure is done under a general anaesthetic in a fully accredited hospital with the participation of a specialist anaesthetist.
Recovery
Upon discharge the patient is required to wear a medical garment (bras) for six weeks and needs to have 1-2 weeks off work to rest at home. Walking is actively encouraged postoperatively but exertion and heavy lifting are not allowed for 3-4 weeks.
Breast Implant Removal FAQs