Clinically, massage has been used as a traditional and safest method to prevent capsular contracture in elective augmentation mammaplasty.
To evaluate the efficacy of massage in circumferential capsular contracture, a series of experiments were performed.
Twenty rats were inserted with implant each, one for control and the opposite for massage. The rats of massage group received daily massage from postoperative 3rd day to postoperative 15th day for 5 minutes twice per day. The capsular tissue was obtained serially after 1 week, 2 weeks, 1 month and 3 months postinsertion and examined histologically.
The evaluation were performed through analyzing the incidence of spherical capsular contracture, the thickness of capsule, and light & electron microscopy.
From the data and finding of histopathologic change of capsule, the results are obtained as follows ;
I . The massage group exhibited less incidence of spherical capsular contracture.
2. There was no increase in capsular thickness in the massage group. But, progressive increase in to thickness of capsules was noted in the control group.
3. In the immunocytochemical study of the capsule, the prominent collagen type of early
stage was type U1. but it was progressively converted to type I .
4. Sparse reorganization of the collagen fiber in the capsule was found in the control group
in compared with the control group.
These results indicate that postoperative massage after augmentation mammoplasty is effective maneuver for the prevention of spherical capsular contracture.
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