Comprehensive Capsular Treatment and Prosthesis Replacement Combined with Macromolecular Hyaluronic Acid Injection to Treat Capsular Contracture after Breast Augmentation
Objective To investigate the effect of comprehensive capsular treatment and prosthesis replacement combined with macromolecular hyaluronic acid injection in the treatment of capsular contracture after breast augmentation.Methods From May 2014 to April 2021,29 patients with capsular contracture after breast augmentation in the author's hospital were selected as the research objects,aged 21-53 years,1-6 years after the first breast augmentation,with an average of 2.3 years.There were 21 cases of Baker grade Ⅲ,8 cases of grade Ⅳ,3 cases of unilateral and 26 cases of bilateral.Using areola incision,the thickened breast capsule was completely removed in 11 cases,and the capsule was released in 18 cases,and all of them were replaced with prostheses.Macromolecule hyaluronic acid 10-20 ml was injected into each side immediately or within 48 hours after breast augmentation to prevent capsular contracture again.Results All patients were followed up for 1 to 5 years,the breast shape and softness were good,and there was no breast pain,hard mass and loss of nipple sensation.There were 22 cases of Baker gradeⅠ and 7 cases of Baker grade Ⅱ.Conclusion Comprehensive capsular treatment and prosthesis replacement combined with macromolecular hyaluronic acid injection are effective in the treatment of capsular contracture after breast augmentation,and can effectively reduce the probability of capsular contracture again.
万方数据
维普
