What Are is the Percentage Rate of Getting Capsular Contracture with Silicone Implants

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12 Doctor Answers | Asked by deeatrealself in IL

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Capsular contracture rate

I think the lifetime risk of developing a capsular contracture is somewher in the neighborhood of 5-10%.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Capsular contracture rates

Despite all the experience plastic surgeons have had over the years, capsular contracture is still poorly understood as far as its cause, how to avoid it, and how to treat it with predictable success. You will get many different answers to your question depending on whom you ask. The overall incidence is probably less than 10 percent, and most of the time it is just a matter of bad luck as opposed to anything the surgeon either did or did not do. If you elect to undergo breast... more

Rate of Capsular Contracture for Silicone Gel Breast Implants

The risk of capsular contracture depends on a few things. It is much higher in breast reconstruction than breast augmentation. Patients who had it once, seem more likely to develop in again. Based on the large studies by Mentor and Allergan (the 2 main implant manufacturers in the USA), the rates of Baker Grade 3 or 4 capsular contracture for primary breast augmentation are: Allergan 16% at 7 years Mentor 8% at 3 years

Capsular contracture rate with silicone breast implants

The rate of capsular contracture with silicone implants is about 10%. It is believed that this rate is even slightly lower if your incision is placed under the breast (in the breast crease) compared to an areolar incision. Having the implant placed behind or under the pectoral muscle has a lower rate than above the muscle. Consult with a board certified plastic surgeon for more specific details regarding capsular contracture. Best wishes, Dr.Bruno

Capsule Contracture Rates

Silicone Implants are much different today than they were years ago...but much of the data we use is still based on our older experience. Capsule contracture rates for silicone implants depends on many factors including the techniques and precautions used when placing the implants. It will also depend on issues during your early post-op period. If all patients were considered the overall rate is about 5% depending on how the study was done. However, these rates are a... more

Breast implants and capsular contracture

You will find different answers depending on where you look. Implant companies usually quote up to 25% (you can check the mentor or allergan websites). Some doctors quote under 5 % , I think 9-11% is more accurate. Some patients will be a little firm.. At the extreme , just a few are hard, and painful.

Silicone gel implants and capsular contracture

Overall the capsular contracture rates for silicone gel breast implants is from 2 to 8%. There are different grades of contracture, and variablilty of reporting, even in published data. The risk of capsular contracture is low for most practices, though for silicone gel the capsule rates increase over long periods of time because of implant leak and silicone bleed. Best of luck, peterejohnsonmd.com

Capsular contracture rates in the literature

There is a wide variability in the literature with respect to capsular contracture. The reported ranges vary from a low end of (2%) to over 80% with different criteria for capsular contracture.What one patient or surgeon considers significant capsular contracture another may not. There are hundreds of papers on the subject.

Capsular contracture

As the previous surgeon discussed, the rate of capsular contracture with any implant is variable because of all the technical and patient related variations. However, as a surgeon with over 25 years experience, I have found that attention to detail in the performance of the surgery and using the data and information from published reports over the last 40+ years, have helped keep my rate of contracture in the 2-3% range.

Capsular contracture and silicone implants

There are several studies on the subject and the incidence appears to be somewhere between 5 and 8%. More importantly, the capsular contracture rate can be very surgeon dependent. Sloppy surgeons will have a higher rate due to blood product around the implant. Get more than one opinion from experienced breast surgeons. Good luck!

Marcel Daniels, MD

11 reviews

Long Beach Plastic Surgeon

Really not dependent on fill material...

Both silicone and saline implants have the same shell so the risk should be equivalent. The shell is what confers the risk of capsular contracture. That being said, even in 2011 we don't exactly know what causes some patients to develop capsules. One of the few things we do know is that hematomas increase the risk for capsules so please alert your surgeon if one breast is significantly more painful or swollen after surgery.

Capsular contracture with silicone implants.

Capsular contracture after breast augmentation is dependent more on other factors than silicone vs. saline. Since the newest generation of silicone gel implants are cohesive and cannot leak (and also have very minimal molecular "bleed" through the shell into the surrounding tissues), they act very similar to saline implants, which have the exact same silicone elastomer shell in contact with your tissues. Theoretically, capsular contracture should be exactly equal (assuming all... more