Why Does Capsular Contracture Reoccur in Certain People?

I had breast augmentation over 3years ago.I developed capsular contracture and had them replaced in march this year only to find that when I came round from the op the Implant had slipped out of the muscle.I had another op 2wks later.again I developed capsular contracture and had another op last month,I then developed a collection of blood and had another op 2wks ago,in which I then picked up an infection.had a checkup today and it's now been confirmed that I have got capsular contracture again.

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5 Doctor Answers | Asked by Jojo's in Ireland

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Capsular contracture after breast implants

Capsular contracture is not well understood: some women are prone to them blood may contribute bacteria may contribute capule rate is higher if you already had one no implant , no capsule

Capsular contracture

There are several theories as to why capsular contractures occur, but it is difficult to predict. Some peopel do get them more frequently than others.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Why Does Capsular Contracture Reoccur in Certain People?Answer:

We probably don’t know for sure why some people form capsules and others don’t. We know bacteria and blood probably have a role, and it has been rare in my practice to see it on both sides and yet we prep the skin the same and give the same antibiotics…And we see it many times repeat itself on the same side even after treatment…A very perplexing problem for doctors and more for patients!

Repeated Capsular Contracture

No one knows with absolute certainty the cause of capsular contracture, either as a single event or recurrent contracture, but the leading theory is that a film of bacteria attaches to the surface of the implant. This biofilm incites an inflammatory process which leads to thickening of the implant capsule. There is also a higher rate of capsular contracture after a hematoma (blood collection in the implant pocket). If a contracture recurs more than once, it may be that there is a low level... more

Capsular Contracture

Studies have shown that a bacterium called Staph epidermidis can be cultured from as many as 70% of capsule specimens obtained during surgical procedures for capsular contracture. So I employ a number of measure that address the possibility that skin bacteria or nipple duct bacteria may adhere to the implant surface during the augmentation procedure. We prep the skin using potent antiseptic solutions prior to draping the surgical site with sterile drapes, however the microscopic surface of... more