Capsular Contracture (CC) has a variable rate of occurrence, can be unilateral or bilateral, and can occur within months or take many years to develop. Patients who have experienced CC are more likely to have it happen again with subsequent implant replacement. However, if the implants are placed below the pectoral muscle, into a large pocket, and are massaged early in the post-operative period in order to maintain the space around the implant, there may be improvement, or at least delayed development of CC. Sub-glandular implants, whether saline or silicone, have a higher rate of CC. In general, silicone implants may have a slightly greater incidence of CC compared with saline, although both silicone and saline have other benefits and risks which should be considered prior to choosing one versus the other.
With Breast Augmentation, only one thing can be virtually guaranteed in every case. That is, that at some future point, patients will require one or more operations in order to maintain the youthful appearance of the breast because of age-related changes, or to correct problems such as CC or deflation of the implants as they occur.
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