Is a 10% capsular contracture rate too high for a plastic surgeon to have at his practice?

Ten percent capsule rate is pretty much what I would expect from silicone gel.  Saline implants have a considerably lower incidence of capsule, in my experience.

Hello,After implant rippling, capsular contracture is the most common complication of breast augmentation. Reported rates of 10% are considered the average, but many surgeons who practice based on the best scientific evidence have routinely lower rates, usually around 2%.  There is great controversy among surgeons about this subject that has led to rather heated discussions at meetings.  Doctors are people too, and there is a general tendency to avoid change, even when science tells us there may be a better way of doing things. If you want breast augmentation and are willing to do what it takes to minimize your risk of capsular contracture, here is a list of things to focus on with your surgeon:1. Dimensional Planning.  Breast implants are no different than shoes.  There is an optimal size implant for your anatomy. Try to not deviate too far from it to achieve your aesthetic goal.2. Inframammary incision.  There's been enough clinical studies to show that this produces the lowest risk of contracture among the available incisions.  Peri-areolar incisions carry the highest risk, yet are still commonly performed, especially in the Southern California area.3. Sub-pectoral implant placement. 4. Form-stable, textured and shaped implants. These devices have a very high performance record based on the clinical studies used for FDA approval.5. The surgical technique should be meticulous, electro-cautery only surgery, without blunt dissection. First described by Dr. Tebbits, now taught in the Allergan Academy for surgeons around the country, and known as the '24 hour' or 'flash' recovery by surgeons who advertise on their websites, this technique yields a quick recovery with the least discomfort, and a low risk of capsular contracture.6. A 'no touch' method of implant delivery into the pocket.  This minimizes the risk of implant contamination during surgery, and provides a means of rapidly placing the implant into the pocket with little physical stress on the implant. Many surgeons choose to use a pre-fabricated funnel-like device.If these steps are taken, you will unlikely need narcotic medication during your recovery,only high strength ibuprofen is necessary.  Additionally, those surgeons that really embrace this practice will give you exercises to do the day of surgery, which includes lifting your arms above your head.  Most people are back to all of their daily activities within 72 hours.Best of luck!

Generally speaking early studies of the new silicone breast implants done several years ago reported a 9.6% rate of capsular contracture.  Thus a 10% rate is in line with early studies.More recent studies have shown a reduced rate of 6.5% and when implants are placed beneath the chest muscle that rate is reduced to 2.2%.