Lets talk about this.
Many women undergoing breast augmentation will
be informed that this is a complication, but
what is it and why does it happen?
It is considered a common complication and
refers to the tightening of scar tissue the
body forms around the implant. Different companies
for different implants will aspire to tell us
their implants have reduced capsular contracture
rate but at the end of the day the exact cause
The implant is considered a foreign body and
your body will recognize it as such. In order
for your body to keep control and ‘contain’
the foreign body, it will create a capsule of
fibres around it and be very proud it has protected
you so diligently. The capsule on its own is
a naturally occurring tissue and while it remains
thin, the implant usually is comfortable in
its new home. However, if the capsule contracts
or thickens, it can squeeze the implant causing
distortion or hardening of the breast and sometimes
Some contributing factors have been identified
to include infection, bleeding, contamination,
smoking and trauma. Some studies have shown
an increase in capsule contracture rate with
subglandular placement (under breast tissue),
compared with submuscular placement (under muscle);
some studies have shown a greater risk of capsular
contracture is seen in smooth implants compared
to texture implants.
Prevention is better than cure as surgeons
continue efforts to reduce the rate of capsular
contracture. Massage, antibiotics and irrigation
of the surgical site are some interventions.
To date there is no proven data to suggest for
certain any of it makes a difference.
Patient education is paramount. At Cairns Plastic
Surgery, our staff place utmost importance on
education of patients on their chosen procedure.
Dr Hertess is tireless in ensuring we are kept
up to date and provide her patients with professional
advice as well as optimal pre and post operative
care. If you are considering breast surgery;
welcome a consultation with one of our nurses
to guide you through the procedure and answer
all of your questions.