Breast Augmentation Complications

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Breast Augmentation Complications

Capsular Contracture

One of the most common breast augmentation complications is capsular contracture. Capsular contracture is an abnormal response of the immune system to breast implants in the body.

Capsular contracture occurs when scar tissue forms a capsule and tightens and squeezes the breast implant. This is a medical complication that can be very painful and discomforting, and might distort the aesthetics of the breast implant and the breast.

The degree of an incidence of capsular contracture is graded using the four-grade Baker classification:
1. not palpable, not visible
2. palpable not visible
3. palpable, visible
4. palpable, visible and painful

What is bottoming out?

Bottoming out happens when the implant is placed too low, for example, below the inframammary crease. This leaves excess nipple-inframammary crease length which results in the volume of the breast descending without the nipple. Once this happens it leaves the nipple too high on the breast mound looking like the implant has “bottomed out”.


Article by
Los Angeles Plastic Surgeon