But in some patients, that scar tissue layer may tighten, which can make the implant feel like it is hard. The technical term is Capsular Contracture ("CC"). If that happens, the breast may feel and look unacceptably hard, or may even get displaced slightly out of position, and need an operation to soften it, and approximately 5% of women need such surgery. There is no way to tell in advance who is likely to get hardening and who is not. It is even possible to harden on only one side. Getting hardening does not mean that the implants must be removed.
To help prevent hardening, the patient may be advised to take Vitamin E and MSM, both of which somehow help prevent contracture. The main preventive against contracture is the implants need to be massaged or compressed for a few minutes every day. If the implants are in front of the muscle, the patient will deliberately compress them; if the implants are under the muscle then the muscle will automatically do the massage. Whichever are the options chosen, the chance of needing surgery for hardening remains about 5% longterm.
Most hardening is evident within the first few years, but it can occur much later. A strange thing is that many of the cases of late hardening occurred right after the woman had dental cleaning without taking protective antibiotics prior to having the cleaning done.
Because surgery for hardening is often a larger operation than putting the implants in originally, it is important for patients to keep their long-term postoperative appointments. If hardening starts to occur, and it is detected early, then certain treatments can be started to try to avoid the need for an operation. One of these treatments, strangely, is for the patient to take an asthma pill (Accolate or Singulair) daily for three months, with about a 75% chance of avoiding operation. Another treatment is for her to use a plastic clamp-like device (Sta-Sof) on her breast for about 15 minutes several times a day for a few months. This sounds cumbersome, but it is far better than going through a large operation.
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