Our efforts to reduce the risk of capsular contracture in both primary and revision breast augmentation surgery are based on studies that were designed to help surgeons better understand how capsular contracture occurs and how it can be best avoided. This begins with the 14 Point plan, which is a checklist to improve sterility and decrease inflammation after surgery. This plan is the result of multiple studies by Dr. Bill Adams and other surgeons over the last 15 years.
As part of this plan we use IV antibiotics before surgery as well as antibiotic irrigation to the space where the implant will go. This minimizes bacteria as well as any microscopic partciles in the pocket that could increase inflammation.
We avoid peri-areolar incisions, cover the skin with impervious dressings, and change gloves before insertion of the implant since there are trace amounts of bacteria on the skin and even more within the breast ducts and the nipple.
