Capsular contracture
All breast implants develop a thin layer of scar tissue around them called the implant capsule. This is usually a thin layer of scar tissue that does not affect the breast implant or the softness of the breast. However, during the contracture process, the implant capsule becomes thicker and it squeezes the implant, progressively making it more firm and less mobile. This phenomenon may occur any time after the procedure, but usually occurs within five years after surgery. The cause of capsular contracture is not known with certainty.
Capsular contracture is claimed to be the number one complication from the use of breast implants and has been reported to be as high as forty percent.
The contracture process may lead to a change in the shape and “feel” of the breast. The breast may become more rounded in appearance and implant rippling is common. This may affect one or both breasts.
In rarer, more advanced cases, the breasts can become tender and painful. A simple hug may become uncomfortable and a giveaway to others that something is not right (the “hugger” feels firm objects on the “huggee’s” chest).
We don’t know who is likely to develop a contracture. In my experience, it is more common with subglandular implants (implants placed above the muscle) and less common when active breast massage is performed to keep the breasts soft. The contracture rate in my practice is less than 1% of breast enhancement patients.
Treatment of a breast contracture usually consists of an implant change, a pocket change, and removal of the implant capsule. This does not guarantee that patients will not experience a recurrent breast contracture. Removal of the implants is also always an option.
