Can you have a capsular contracture after an explant?

Question

I'm not sure if that's what it would be called. But why is it that some women a few years after a beautiful explant result randomly develop scar tissue that distorts the breast? Is there a way to avoid this?

Raffy Karamanoukian, MD, FACS · Answer

Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

George Bitar, MD · Answer

Thank you for your question.  Adherence of residual capsule or Seroma formation are some of the causes of delayed deformity.  There are other causes that may be more serious. Consider an in person consultation for a thorough evaluation.

Payman Danielpour, MD, FACS · Answer

I find it very odd to develop a capsule after removal of the offending agent.  There is a possibility that there is a seroma capsule that is there and is mistaken for a capsule.

M. Scott Haydon, MD · Answer

Thanks for your question. I have not had issues with patients developing strange scar tissue years out from their implant removal. We do have people massage the breasts afterward once things have had time to heal (usu a few weeks)

Bahram Ghaderi, MD · Answer

Breast shape can definitely change after implant removal. The capsule that forms around the implant can be removed. However, sometimes the most adherent part on the ribs may not be able to be removed safely and is appropriate to leave in place. You can form fluid or seroma after explantation which can have a new capsule formation. This would best be discussed in person with your surgeon to determine what procedure if any would help improve the shape of your breasts.

Connie Hiers, MD, FACS · Answer

Once the implant is removed, there is no reason for the body to form a capsule, unless something was left behind, or a seroma, a fluid collection, developed. If the capsule is removed, and the space closed, usually most women heal very nicely. Should changes occur several months or years later, please get a mammagram and have the breast checked.

Susan Kolb, MD - Account Suspended · Answer

The best way to avoid this problem is to have the scar capsule completely removed and to do an internal lift in order to decrease the base diameter and close up dead space.

Can you have a capsular contracture after an explant?

Answers (7)

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