How common is capsular contracture, bottoming out, and animation deformity?

Dear Kind868884,
capsular contracture happens. In fact, every implant has a capsule form around it, its just a certain percentage develop thick capsules. There is a lot we don't know about it actually. Some think that bacteria that gets on the implant during insertion can increase the risk. Thats why we use a Keller Funnel in our practice to reduce that possibility. Our capsular contracture rate is less than 2% because we use a keller funnel as well as meticulous operating room techniques.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

The important thing is to remember that you have a great result at this time, which is likely an indication that you will have a great result moving forward. Things like capsular contracture can happen at a rate of 3 to 20%, however, we have very little evidence to definitively pinpoint why it happens to some and why it does not happen to others. This is not something I would focus your thoughts on, however, moreover, I would enjoy your results. Things like bottoming out can happen as well, since gravity never quite stops working on us. But don’t lose heart, these “complications” are often very much later, and never perfectly predictable. We would love to talk to you more about this. -Webb Plastic Surgery

If you did not choose implants that are too larger and heavy for your frame, bottoming out should not be a concern. To avoid capsular contracture, do your massages as directed and use antibiotics prior to dental work and when you get an infection. Some animation changes will be noticeable if your implants are behind the muscle. Do avoid heavy lifting and weights and pushups for the next 3 months. Let your surgeon check you during your healing phase to make sure everything is going well, and follow up every year.

My only suggestion is to stop perusing the internet looking for problems! You'll drive both yourself AND your plastic surgeon crazy. If you massage your breasts (according to your surgeons directions), then the risk of capsular contracture is minimal (rates on the internet are form 6-10%, however, my and other surgeon's rates have been significantly lower). The risk of bottoming out is both a technical one (if the pocket was made too low), a risk of weak scar tissue formation at the base of the pocket (patient independent, still low risk) and the size of the implants (the larger the more weight and higher chance of downward descent). Lastly, wearing a supportive bra as much as possible (especially when exercising) reduce the weight and strain on the lower portion of the pocket.
Animation artifact is a consequence of submuscular placement. It has different degrees of visibility depending on each patient.
Just enjoy your beautiful results (and wear a support bra!).
Dr. Taranow

How common is capsular contracture, bottoming out, and animation deformity in your plastic surgeon's practice? Good question and you might ask him (her) what his experiences are with these complications.
There are many factors which contribute to these issues of concern including (among others) adequacy of your tissue coverage, muscle releases, activity levels, and breast support (bras). You plastic surgeon would best be able to provide you the statistics you are inquiring about.
Best Regards,