Breast Augmentation in South Jersey and Voorhees

How to Recognize Capsular Contracture

Results from capsular contracture by William Franckle, MD, FACS in Voorhees, NJFor most patients, a breast implant surgery involves minimal complications. A common occurrence (which is becoming less common with advanced techniques and modern technology) is a capsular contracture, which is when scar tissue forms in and around the implant. The feeling of a hardened breast, with or without pain, is a reason to further investigate for a capsular contracture.

What Causes a Capsular Contracture?

Currently, there is no hard evidence as to why a capsular contracture happens, but it is believed to be an immune response. When a foreign object is placed in the body (i.e. an implant), a capsule is formed around that object. For most, this capsule remains thin and does not affect the implant. For some, this capsule tightens around the implant, causing it to feel very firm and look distorted.

Identifying a Capsular Contracture

As mentioned earlier, the most obvious sign of a capsular contracture is a tight-feeling breast. This can occur in one breast or both, and can happen soon following the procedure or 10 years after the surgery. Universally, plastic surgeons use a grading scale to determine the condition of the implant.

– Grade I: The breast is of natural shape, size, and softness.

– Grade II: Slight firmness in the breast, however it appears normal in shape.

– Grade III: The breast is firm and there are abnormalities.

– Grade IV: The breast is hardened, may be painful, and has obvious abnormalities.

For patients that have had a breast augmentation, it’s important to pay attention to your body. Self-checks for firmness and symmetry in the breasts should be added to your routine following the operation.

Preventing Capsular Contracture

Modern advancements in plastic surgery, including sub-muscular positioning of the implants, higher quality implants, and a better understanding of capsular contracture, help surgeons take steps toward preventing capsular contracture.

Treating Capsular Contracture

The most common reason for a breast revision procedure is capsular contracture. There are non-surgical options available, depending on the ‘grade’ of the situation and the patient. An in-person consultation is needed to determine the best solution. If a breast revision surgery is recommended, both the capsular contracture and the affected implant are removed and a new implant is placed in the body.

 

5 Tips For an Easier Breast Augmentation Recovery

For some women undergoing a breast augmentation, the recovery is more worrisome than the procedure itself. Whether considering silicone or saline implants, the thought of ‘downtime’ and side effects can be nerve-wracking. The reality is, there will be some level of discomfort after a surgical procedure. Your body will need time to heal. The good news is, paying attention to your post-operative instructions and taking extra care of your body will make the road to recovery much easier.

1) Don’t go alone!

There is no denying that breast augmentation takes a toll on the body. It is extremely valuable to have a friend or family member by your side to assist before and after the procedure. It will be difficult to perform normal activities independently for 24 to 48 hours following the surgery.

2) Rest, rest, rest

During a breast augmentation patients are given general anesthesia and are prescribed pain medication following the surgery. These medications will help the body relax but can lead to drowsiness. Recovery time can vary from person to person, but all patients should allow themselves to rest as much as possible for several days following the surgery.

3) Hydrate!

Aside from the drowsiness that medications can cause, they may leave you feeling very thirsty. It is important to have plenty of water ready—and within arm’s reach—for the time spent resting.

4) Avoid lying horizontally

To ensure not to overexert the body, a recliner or upright seating positionis recommended when you first arrive home from surgery. For a few days to a week, it may be difficult and uncomfortable to lie down horizontally.

5) Stay positive!

It is important to remember that discomfort is temporary and completely normal. Patients recovering from breast augmentation will often be surprised at how soon they feel able to get back on their feet, with some short-lived physical limitations.

6) Take the doctor’s advice in the weeks and months to come

The weeks and months after the surgery are a crucial time to ensure proper healing. Following the post procedure instructions we give you will lead to a more comfortable and more successful recovery. To avoid scar tissue buildup and maximize recovery, Dr. Franckle may  recommend certain exercises and massaging methods so that the implant falls into place appropriately. Any questions about your recovery should be directed to Dr. Franckle or our office staff. We are just a phone call away!

 

When Is the Right Time to Get a Reduction Mammaplasty?

If you are a woman with overly large breasts you know the struggles that come with everyday activities. Back pain, neck pain, shoulder p425px-Unclothed_woman_behind_question_mark_signain, indentations from heavy bra straps, and other symptoms can interrupt your daily routine. For some, the physical struggle of carrying the excess weight is not the only reason for seeking a solution; emotional discomfort and self-consciousness are also common. When the symptoms continue to get worse, one solution is a breast reduction surgery or reduction mammaplasty. As with all surgical procedures, there are essential factors to keep in mind. Age, BMI, personal habits, and overall health should be considered when deciding if a mammaplasty is right for you and if now is the right time.

You Are Finished Having Children or Do Not Plan on Having Children

The changes in your body during and after pregnancy (especially if breastfeeding) can have an effect on the shape and size of the breasts. This is an important consideration for women researching all types of breast surgeries, including a reduction mammaplasty. Stretching of the breast tissue, connective tissue, and ligaments during pregnancy can lead to sagging of the breasts and for some, stretch marks. After undergoing a surgical procedure to perfect the look and size of your breasts, seeing those results fade away during pregnancy can be disappointing. If you are planning to have children in the future but still would like to a move forward with a mammaplasty now, be sure to discuss these plans with Dr. Franckle during your consultation so you can agree on the best approach for you.

You Are in Good Health

An important factor in the success and safety of a breast reduction procedure is the overall health of you, the patient. During your consultation with Dr. Franckle be prepared to discuss your medical history (including past operations), medical conditions, current medications, your family history of breast cancer and, depending on your age, the results of past mammograms. Apart from your physical health, Dr. Franckle will also take the time to fully discuss the procedure and ensure that you have realistic expectations for your outcome.

Your Lifestyle Can Provide Enough Time for Recovery

Recovery of any type of plastic surgery is a very common concern. It is also one of the most important factors to consider when researching a reduction mammaplasty. Your body will need time to heal and trying to do too much can have a negative effect on your final result. At our office, each patient is given aftercare instructions that we encourage them to follow carefully. The level of activity during recovery will depend on your particular situation (i.e. do you have young kids, does your occupation require you to stand most of the day, etc.). Generally speaking, most patients will take 5-7 days off from work. Heavy lifting and exercise should be avoided for 4-6 weeks following the procedure.

A reduction mammaplasty can be a life saver for many patients. Relieving the physical and emotional strain overly large breasts have on the body and at the same time perfecting an aesthetically pleasing figure make this procedure popular among women of all ages. We hope these points have helped you decide if now is the right time for you to undergo a reduction mammaplasty. Ready to go? Give us a call for a consultation with Dr. Franckle!

 

Everything There is to Know About a Mommy Makeover

After delivering children, women usually experience different changes to the body, such as increased breast size, sagging tummy, and stretch marks. Many are eager to recover their before-pregnancy look thus consider going for a mommy makeover. Therefore, before a patient opts for the procedure, there are a few things that mother’s need to keep in mind.mom-and-baby-having-fun

Several Procedures in One Operation

A common misconception with a mommy makeover procedure is to think that one surgery fits all. In fact, a mommy makeover includes several different procedures combined into one or two operations. What is included in your mommy makeover may differ from what is included in the next patient’s. Most commonly the procedure includes a combination of a breast lift, tummy tuck, breast reduction, liposuction, and/or breast augmentation (implants). When you begin researching a “mommy makeover” keep in mind that it is a descriptive term and a consultation with a board-certified plastic surgeon like Dr. Franckle will identify exactly what you will undergo.

Preparing for Surgery

One important consideration of any women consulting about a mommy makeover procedure is, ‘will I be pregnant again?’ This procedure is customized to regain your pre-baby body. Pregnancy after the procedure has the potential to erase all the great results. Other considerations include medical history, current medications, family history of breast cancer and past surgeries. Patients who are 40 years and above may be asked to have a mammogram, electrocardiogram, or chest X-ray before the operation.

Will the Results Last?

Patients who remain a consistent weight after a mommy makeover procedure see their results last. It is important to remember that we cannot escape aging and gravity does have a natural effect on the body.

Women should plan carefully for a mommy makeover and determine the right time for them to undergo the procedure. It’s wise to consult with an experienced surgeon to fully understand the costs and implications. Join us for a consultation with Dr. Franckle for a better picture of what your mommy makeover would entail and how you can get back that pre-baby body.

 

How Will Pregnancy Affect My Breast Implants?

25141597360_1ab02e3467_zOne of the most common concerns for women visiting our office for a breast augmentation is pregnancy and breast implants. Myths about breast implants have women believing that breast implants will prevent them from breastfeeding. While future pregnancies should be taken into consideration when deciding the size and placement of breast implants, pregnancy should not hinder you from getting implants. No doctor can guarantee a successful breastfeeding experience, with our without implants, but many women at our practice have been able to experience all the joys of pregnancy with augmented breasts.

One thing to keep in mind is the possible aesthetic effects on your breast tissue and implants after carrying a baby to term.

Sagging Skin

In general, pregnancy and breast implants can coexist without any issues, but pregnancy may have some effects on the look and shape of your breast augmentation. During pregnancy, your mammary glands will swell as they become engorged with milk, possibly stretching the tissue and surrounding skin. After nursing your baby, the mammary glands will eventually shrink again, sometimes leaving sagging or stretched skin behind. This can lead to a less-full or less perky appearance of the breasts. If this is something you are concerned with, be sure to discuss it with Dr. Franckle during the consultation.

Dimpling

Another issue that women notice after pregnancy is rippling or dimpling of the skin. This can occur anywhere around the implant but is usually seen on the top or sides of the breasts and most noticeable when you lean forward. Dimpling of the skin occurs when the natural breast tissue has begun to sag down off the implant creating a wavy appearance on the skin’s surface. Most commonly the patients we see with this concern have saline implants that were placed over the muscle (as opposed to under the muscle). If this is a concern of yours, Dr. Franckle can discuss the option of a silicone implant placed under the muscle. If dimpling is happening to you now, it may be corrected with a breast implant revision procedure.

Many, many women in our practice and around the world have a pregnancy and breast implants and experience little to no sagging, dimpling, or other side effects. Every woman’s story is unique, and there is a solution if your experience is unsatisfactory.

 

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