"No-touch technique" describes a set of practices designed to minimise contamination of the implant during insertion, on the basis that bacteria on the implant surface contribute to capsular contracture.
What it typically includes
- Insertion via a Keller funnel to avoid handling the implant.
- Changing gloves and using fresh instruments before handling the implant.
- Antiseptic/antibiotic pocket irrigation.
- Nipple shields and meticulous skin preparation.
- Careful haemostasis to limit haematoma.
Why it is used
Collectively, these steps aim to reduce the bacterial load on the implant ("biofilm"), which is linked to capsular contracture and is part of the rationale for reducing rare surface-associated risks. No-touch principles are now standard practice for many surgeons.