What Is Capsular Contracture?
Capsular contracture is a common complication that can occur following breast augmentation. Research indicates that about 5–15% of breast augmentation patients will experience this complication.
After breast augmentation surgery, your body forms a protective capsule of fibrous scar tissue around each breast implant. The formation of this capsule is a natural part of the healing process.
However, for some patients, the capsule becomes abnormally thick and begins constricting the breast implant, causing the following symptoms:
- Hard or firm breasts
- Breasts that are painful or tender to the touch
- Asymmetry
- An overly round or “ball-like” appearance, which is a significant change from the pre-operative shape of the breast
- Visible distortion or upward implant displacement
These symptoms can appear as early as a few months after surgery or even years after your recovery. It is important to note that when capsular contracture occurs about 5 to 10 years after surgery, it can often be an indicator of an occult silicone implant leak, otherwise known as a silent rupture. If a silicone implant ruptures, it can only be detected with the aid of an MRI or ultrasound, emphasizing the importance of routine implant monitoring.
Risk factors contributing to the development of capsular contracture include implant rupture, prior infections, hematoma, multiple surgeries or previous implant exchanges, smoking, and even your own body’s unique healing response.