in the immediate term after surgery there's really only one thing that can
happen and that's bleeding so that's why we see you back the next day one of the
great things about this place is that we own the operating rooms so if you come
back the next morning and I see that there is blood around the pocket or
around the infant we just drop back into the operating room take care of the
problem and you're ready to go in 20 minutes if you and I can treat it that
way it's not a big deal but if you let it go if you let it fester for weeks at
a time yeah it can be a problem so that's why we see you back on the first
day then we want to make sure that being wound the little cut that we make
heals well most of our stitches are on the inside and you don't see them but we
want to make sure that everything is healing well so we see you back at a
week we want to make sure that the implant which tends to come a little
high for a while it's starting to soften is starting to come down and that's why
I like to see you back in a month if at a month things are still high
there's a medicine I can give you to help sort of hasten the process I give
it maybe one out of ten times and then you see back at three months and see how
we did but at three months the complications or problems fall into two
different types either capsular contracture or implant malposition so
let's talk about capsular contracture for a second what is it well anytime you
put an implant any implant in the body anywhere in the body the body walls that
implant off with scar tissue you can put a knee implant in or a wrist implant or
a pacemaker or anything like that and the body is going to wall it off with
scar tissue and in this case it's called the capsule what you put the breast
implant in the scar that forms is called a capsule now normally the capsule is
just a flimsy thin cellophane like layer of tissue what we think now as surgeons
is is that if a piece of bacteria or something like that gets on the implant
or in the capsule it will provoke the little cells that live in that capsule
to contract down and what that will do is make a sphere and get hard right and
so we do our utmost to prevent bacteria from getting on breast implants we give
antibiotics we cover nipples we make incisions under the breast most of the
time we use this thing called a keller funnel which is a great way of just not
even touching the implant even go so far as to when we open the
implant packet we're concerned that there may be some disturbance in the
atmosphere and so we squirt antibiotic into the closed packet to sort of make a
positive pressure so that the implant doesn't see anything that might be
floating in the air all these things keep to keep bacteria from laying out on
the implant but you can get bacteria on the implant just through your own blood
system and so things can happen afterwards and we've got to modify them
capsular contracture leads to a hardening of the breast if but it's
preceded by discomfort a general pain in the breast and you'll wake up if you one
more inning think on side pull muscle or something and what I want you to do at
that point is think no I need to call Sigal because if I get you then I can
usually treat this a pill and they could go away there are many treatments for
capsular contracture and we can always fix it but and always make it better but
it depends really on what we're looking at as to what treatment we'll bring to
bear implant malposition is a different problem and it's also
very rare but it's when the implant sort of doesn't lay out right underneath the
breast tissue you'd like the implant in the breast tissue to read as one unit
but if the implant drops out that's the most common cause or drops out to the
armpit that's the next most common a lot of times we have to reposition the
implant and that's not very common in our practice either again we warranty
our results and if we do I can do it it's not going to cost anything but it
can happen and the fix for that is again depending on the
implant and its malposition go ahead and hit the like button if you enjoyed this video
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