What causes capsular contraction?

Doctor Answers 2

Causes of Capsular Contracture

Capsular Contracture is a condition in which the capsule surrounding the implant thickens and contracts, squeezing the implant making it overly firm or hard and often changing the shape and position of the implant. As the capsule contracts it moves the implant further up your chest wall making upper portion of your breast too large and unshapely. It is more far more common in nicotine users (e.g. smoking, vaping or nicotine gum or patches). #capsularcontracture

Orange County Plastic Surgeon
4.9 out of 5 stars 154 reviews

Capsule contracture

Dear Shirdan,   Capsule contracture can be defined as benign and non benign. The earlier is a result of the natural tendency of the capsule (scar around the implant) to contract and tighten around the implant, which makes the breasts stiff and non mobile the way natural breasts behave. The scar is thin with non inflamed  light pink color. This type of contracture can be avoided easily  by doing religiously implants displacement massage. (if you call my office ,you can get the instruction for the technique). When it does occur, capsulotomy (scar release) is all that is needed followed by the implant displacemen massage,    The other type of contracture is more serious and is due to 'Biofilm' -  not flagrant infection, but rather bacteria embedded in the capsule and stuck to the surface of the implant. The scar is very thick and inflamed with diffuse  granulation  tissue . The breasts is very hard, painful and the implant can be displaced in different directions.  The solution to this condition, in order to achieve natural and soft breasts, is mandatory capsulectomy (excision of the scar) and replacement of the implant. Any compromise will result in recurrence of the capsule contracture and breast deformity.    Blood clots in the pocket can cause similar capsule contracture, maybe due to super imposed bacterial contamination, since blood is an excellent nutritional bed for the bacteria. The solution is, unfortunately, the same. That is why it is important to avoid strenuous activity for 1 month, in order to avoid bleeding and when hematoma does occur  it is important to evacuate it asap.       Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking. Also, check the reviews on 'RealSelf' for ratings and positive experience reports.                           All the best,                                              Dr Widder

Shlomo Widder, MD
McLean Plastic Surgeon
4.8 out of 5 stars 124 reviews

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