Why is It Silicone Implants Has a Higher Chance for Capsular Contracture?

asked 1 year ago by girlyouknow in California
Latest answer by Claudio DeLorenzi, MD
Question viewed 345 times
Tags: female, saline implants, capsular contracture

why is it silicone implants have a higher chance for capsular contracture? Even though the outer shell for saline and silicone are essentially the same thing?

11 answers to Why is It Silicone Implants Has a Higher Chance for Capsular Contracture?

Capsular Contracture Rate and Silicone Implants

This is a very important question that you ask and one that in my opinion is not discussed often enough. Currently, to the best of my knowledge, we do not have an answer to this question. Silicone implants are increasingly popular. They do have a more natural feel which can be quite important. But the data suggests that the capsular contracture rate may be 3 times higher than with saline filled implants. This is something that any woman considering silicone implants needs to be made... more

Bernard Shuster, MD
Hollywood Plastic Surgeon

Capsular contracture is due to bacteria

Capsular contracture (hardening of breast implants) today is most likely associated with a special kind of infection around the breast implant called biofilms. At present, the only treatment is excision of the capsule and removal of the implants.

Claudio DeLorenzi, MD
Toronto Plastic Surgeon

Silicone Breast Implants and Scarring (Capsular Contracture)

The breast implants we use in 2011 are NOT the implants of the mid 1960's, 1970's or 1980's. Complaints related to the thicker shells of fittest generation implants led to the introductions of thin shelled implants which were associated with silicone leaking across the shell (bleeding). THESE were the implants associated with the worst cases of scarring (capsular contracture). Since then, the silicone gel filling the implants became much more cohesive and less apt to flow and leak after the... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Capsul;ar contracture and silicone versus saline breast implants

Although, previous studies have shown a higher capsular contracture rate for silicone implants, it is my impression that newer studies have actually shown a lower rate with the newer low bleed cohesive gel implants when compared to the saline. Unfortunately the data is not consistent and no definitive conclusions can be made.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Silicone and Capsular Contracture

Why is It Silicone Implants Has a Higher Chance for Capsular Contracture? why is it silicone implants have a higher chance for capsular contracture? Even though the outer shell for saline and silicone are essentially the same thing? It is not statistically significant though. Yes it is slightly higher, but there are so many variables and so many factors that that slight difference is not very significant. I have not seen a difference in my practice either. Silicone... more

Farbod Esmailian, MD
Orange County Plastic Surgeon

Silicone implants and capsular contracture

Nobody really knows what causes capsular contracture. Therefore we can't really say why one implant would have a higher capsular contracture than another one. However, in my practice I do not see a difference between the two types of implants. It may be time to re-create a study that compares the latest generation of implants to see if silicone implants really do cause an increase in capsular contracture. Sincerely, Martin Jugenburg, MD

Martin Jugenburg, MD
Toronto Plastic Surgeon

www.torontosurgery.ca

Capsular Contracture Rates

I am not at all sure that silicone implants have a higher contracture rate than saline. Thankfully I rarely see capsular contractures with any implants at this time, although I frequently saw them 20 years ago with both types of implants. In my practice, silicone implants usually are associated with a softer and more naturally appearing and feeling breast than saline.

John Whitt, MD
Louisville Plastic Surgeon

Silicone vs saline implants

Your point is interesting that silicone has a higher capsule contraacture rate, but I have not seen that in my practice. More studies are ongoing regarding this subject.

Steven Wallach, MD
Manhattan Plastic Surgeon

Silicone Implants Has a Higher Chance for Capsular Contracture?

Research is being done to answer this question. In my practice I see no real difference. From MIAMI Dr. Darryl j. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Capsular contracture and silicone Breast Implants

There is a slightly higher risk of capsular contracture with silicone implants when compared to saline implants. No one knows why but my personal theory is that silicone implants are slightly more susceptible to bacteria, blood, and powder....the very things we know can cause capsular contracture. Despite this, the majority of my breast implant patients choose silicone implants and I make sure to use extra care during the inserttion to avoid problems. This means careful prevention of bl more

Matthew Schulman, MD
New York Plastic Surgeon

Capsular contracture and silicone gel implants

That is an astute question. The contracture rate is higher for silicone gel implants in all situations whether it is subglandular, submuscular, smooth, or textured. There are theories but no definitive proof of why this is.