Q. I had breast surgery around four years ago but my right breast has been hard for the last 18 months. The first I thought it was incapsulation and after seeing my GP he recommended surgery. Within the last four weeks the feeling of hardness seems to have gotten worse so im looking for a surgeon to give me an opinion on the best course of treatment. Would it be possible to see you for a consultation. This backspace?
A. Thank you very much for your enquiry, it certainly does sounds as if you have developed encapsulation around your breast implant. This occurs when the body makes a shell rather like cling film around the breast implant compressing it. The solution to this is usually to remove the implant together with the surrounding capsule and replace it with a new texture silicone implant. There is a chance that the implant may get hard again in time but this occurs in less than 50% of cases. If you would like more information about what’s involved in this procedure please visit our website http://aurora-clinics.co.uk where you will find information about encapsulation following breast enlargement and also if you’re not too squeamish videos of me performing an operation to correct it by removing the implant and capsule and replacing it with a fresh implant. If you would like to schedule the consultation to discuss the best way forward for you please do so by ringing us on 01844-214362. I hope this information has been useful and look forward to meeting you in the near future if you decide to schedule a consultation. Best Wishes, Yours sincerely Adrian Richards Plastic and Cosmetic Surgeon Consultant, Aurora Clinics
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Mr. Adrian Richards
The Gatehouse
82 Billing Road
Northampton
NN1 5DF
Phone: 0800 328 5743
Web: www.aurora-clinics.co.uk |

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Q. I had capsular contraction after having my first breast augmentation around 9 years ago. I would now like to have the implants replaced sometime over the next year and wondered whether I should expect it to happen again? Are certain people just more likley to suffer from it?
A. Thank you very much for your enquiry; sorry you have had a capsular contraction following your breast enlargement procedure. You are unlucky to develop a capsule, this only happens in about 6% of people with normal texture silicone implants. There is a new type of implant or the polyurethane coated implant which has a significantly reduced risk of capsular contracture. To get in more about the pros and cons of this type of implant by listening to our Podcast on the topic which can be found either on iTunes by looking for the plastic surgical Podcast or on our website http://aurora-clinics.co.uk. In my opinion polyurethane implants are very useful in treating such as yourself who have had developed a capsule as the rates of capsule formation are much lower than simply replacing the implants with texture to silicone implants. If you would like to schedule a consultation to discuss whether this approach would be best for you please ring us on 01844-214362 or email us at info@aurora-clinics.co.uk. Best Wishes, Yours sincerely Adrian Richards Plastic and Cosmetic Surgeon Consultant, Aurora Clinics
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Mr. Adrian Richards
The Gatehouse
82 Billing Road
Northampton
NN1 5DF
Phone: 0800 328 5743
Web: www.aurora-clinics.co.uk |

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Q. I was reading about risks and side effects after breast surgery. How does a patient contract capsular contracture, is there a reason or does it just happen if it happens? Is there somethiung one can do to lower the chances of complication such as these?
A. All patients with implants get a capsular contracture (the body walls off the implant as it recognises it as a foreign body), it is only when the capsule is thick it becomes a problem. Smoking, infection and unrecognised haematomas (bleeds) increase the chance of a capsular contracture. Hope this answers your question best wishes Barbara www.barbarajemec.com
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Ms. Barbara Jemec
The Wellington Hospital
Wellington Place
St Johns Wood
London
NW8 9LE
Tel: 0207 483 5090
Web: www.barbarajemec.com |

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