Does the chances of capsular contracture increase with Implant exchange for a larger size?

Yes and no. If you have a thin capsule now and the pocket is not changed, your risk may be less since the capsule has already formed. If the pocket needs to be adjusted, especially if you have any bleeding, the risk is increased. Having a larger implant may also increase the risk since there is less room for movement by the implant. Overall, the risk should be less.

Dear user0000011001,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Any time you have breast implants, there is a risk of developing capsular contracture, which is a condition where the scar tissue around the implant tightens and hardens. It is possible for capsular contracture to develop after breast implant revision surgery, including implant removal and replacement. However, the risk of developing capsular contracture depends on several factors, such as the type of implant used, the surgical technique, and individual factors such as genetics and lifestyle.

In general, the risk of capsular contracture may be slightly higher with implant revision surgery compared to initial implant placement, as the presence of scar tissue from the first surgery can increase the likelihood of developing additional scar tissue. However, the overall risk of capsular contracture with revision surgery is still relatively low.

To minimize the risk of capsular contracture, it is important to choose a skilled and experienced plastic surgeon who uses proper surgical techniques and can help you choose the right type of implant for your body. It is also important to follow postoperative care instructions carefully, such as massaging the breasts as instructed and attending follow-up appointments to monitor healing and detect any issues early on.

I hope this helps,
best of luck !