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Capsular Contracture

After breast augmentation with breast implants (saline and silicone), excessive scar tissue may form around the breast implant which causes the breast implants to get hard and round. All patients will have some scar tissue form around the breast implant, however if it forms a lot of scar tissue, the implant will feel too firm and look too round. Capsular contracture is a common complication of breast augmentation.

Can Capsular Contracture be prevented?


Textured implants help prevent contracture because their rough surface is intended to discourage scar tissue from forming a hard capsule. Under the muscle placement of the implant reduces the risk of capsular contracture. Most breast implants are now placed underneath the chest muscles. Massage and compression can also help patients with smooth implants prevent capsule formation. There are some surgical techniques that reduce the chances of scar formation by trying to prevent any foreign substances from touching the implant during the surgery.

What treatment methods are available for Capsular Contracture?

There is a drug called Accolate, which is used in the treatment of asthma which can be useful in the management of capsular contractures. Some antibiotics have also been used. There is also a surgical procedure called a capsulectomy where the scar tissue is removed. Merely cutting the scar tissue does not seem to provide long lasting improvement...the scar tissue needs to be removed.