Can Leaving Scar Tissue from Capsular Contracture Be Dangerous?

If you have formed a capsule once, you are more likely to form another one than someone in the general patient population. The jury is out on whether the entire capsule or a large portion of it should be excised. Sometimes, given the thinness of the breast tissue, it would be impractical to excise the entire capsule and leave you with insufficient coverage for the implant. Capsules are not dangerous in and of themselves although they can be painful and aesthetically... more

The cause of capsular contracture is incompletely understood, and cutting the capsule (capsulotomy) maintaining the same implant can work about 40 to 50% of the time. This means that over half of the time a capsular contracture will recurr. The rate can be improved modestly by removing the capsule completely (capsulectomy) if possible, and giving the implant a fresh start. A new implant also may reduce the chance of bacterial biofilms remaining and reduce the capsular contracture rate... more

Whether or not to remove all or part of a capsular contracture is a contoversial area in plastic surgery. There are sound arguments which can be made for either side. More important than removing all scar tissue is to place the new implant into a virgin area. Removal of the capsule over ribs may be more risky than leaving it in place.