Encountering capsular fibrosis, often known as “encapsulation,” after breast augmentation surgery remains one of the most prevalent long-term complications. This condition which typically appears within 2 years of surgery, involves the development of scar tissue around the implant, leading to hardening and discomfort in the breast tissue.
Traditionally, surgical intervention has been the go-to treatment. However, a groundbreaking alternative has emerged—shockwave therapy.
At Las Vegas Aesthetics, we utilize Extracorporeal shock wave therapy (ESWT), better known as Focused “Shockwave therapy,” a quick, non-invasive, painless treatment utilizing sound waves, renowned for its success in addressing erectile dysfunction and urinary incontinence. This technology, initially recognized for its efficacy in treating areas such as skin tightening, cellulite reduction, and body contouring, has shown significant promise in treating capsular contracture and avoiding potential revision surgery.
The shockwave’s ability to inhibit inflammatory processes and reveal antibacterial properties is noteworthy. In studies, it has displayed the capacity to slow down capsular development, potentially stemming from “subclinical” or unnoticed bacterial contamination on the implant surface, thought to be the precursor triggering an inflammatory reaction, which leads to the fibrosis. Post-surgical bleeding or fluid collections (seroma) possibly due to early drain removal can also contribute to future capsular development and should be prophylactically treated with ESWT as early as possible.
Focused Shockwave has been used on leading breast implant brands at maximum settings, assuring their safety without any harm. Encouraged by these outcomes, patients with the slightest risk of developing capsular contracture or patients exhibiting even the earliest of signs, can benefit greatly with a preventative treatment series.
According to the American Society of Plastic Surgeons, the Baker Grading System of encapsulation is as follows.
- Grade I – breast is asymptomatic (producing or showing no symptoms). it appears normal, is soft; the capsule is flexible
- Grade II – breast looks normal but is firm, somewhat firm / hard to the touch
- Grade III – obvious cosmetic symptoms. breast is hard and has some noticeable distortion (caused by the contracture; the breast may take on a rounded shape, or the implant has tilted upwards
- Grade IV – breast condition is like Grade III but with a greater distortion, hardening of the capsule, and discomfort or pain
A standard treatment plan involves six, 15 – 20 minute sessions spaced closely together. Typically, within 6-10 days for the complete treatment.
Out of towners, have the flexibility of flying into Las Vegas, and completing all 6 sessions within a week, and leave with no downtimes and successful outcomes. These shorter intervals play a pivotal role in hindering the formation of immature capsules (Grade I). Although there are many contributing factors, oftentimes complete resolution of the capsule is seen.
Treatments start at lower settings and gradually intensify over multiple sessions, this has been shown to reduce capsular contracture significantly, maintaining positive results even after three years.
Focused Shockwave therapy sessions necessitate no anesthesia or pre-treatment protocol, ensuring a hassle-free experience with no side effects or downtime. The gradual increase in intensity is tailored to the patient’s tolerance, while ensuring comfort and optimizing results.
Experience shows that early intervention, particularly at Grade I, Grade II and early or immature Grade III capsular contracture, has shown the most promising responses to shockwave therapy. While mature Grade III or Grade IV capsules may exhibit limited response. Timely treatment significantly mitigates the severity of encapsulation and discomfort. Grade III & IV might require either additional treatments (10-12) or ultimately, surgical intervention.
Fortunately, with a success rate surpassing 75%, improvement in encapsulation is not the only benefit to ESWT. Studies have shown that shockwave therapy also assists in;
- Increased lymphatic drainage
- Reduced edema (swelling)
- Increased cellular metabolism
- Rejuvenated and accelerated healing process
- Improved tissue oxygenation
- Promotes vascular development
- Enhanced sensitivity through nerve tissue proliferation
- Reduces inflammation
- Initiates an antimicrobial capacity
- significantly reduces recurrence rates.
The practical benefits are equally significant.
- Safe & Effective
- No downtime
- Painless
- Quick, in-office treatment
- No anesthesia
- No side effects
- No medications or prescriptions
- Non-invasive
- More cost-effective compared to revision surgery.
Whether you seek to head off and prevent a capsular occurrence or are already in need of treatment, these groundbreaking advancements in shockwave therapy offer hope for individuals struggling with encapsulation, providing a non-invasive and safe alternative to traditional surgical interventions.
Las Vegas Aesthetics continues its dedication to innovating and expanding the horizons of shockwave therapy for various medical conditions, ensuring safer and more effective treatment options for patients. Call 702-664-1300 to schedule a free consultation & demo today.