Frequently Asked Questions -
Capsular Contracture
Please explain capsular contracture to me and how common it is. How is it treated if it happens to me? Can it be avoided and, if so, how?
After breast augmentation surgery, the body forms a capsule of scar tissue around the implant. Formation of scar tissue starts within days of surgery and continues for a year or more, the same as in every other type of surgery. In most patients, the presence of this scar capsule is not detectable. Some patients experience capsular contracture. This term refers to the contraction or hardening of the scar tissue surrounding the implant. If capsular contracture occurs, Dr. Zevon recommends removing some or all of the capsule and replacing the implants.
The definitive cause of capsular contracture is unknown, but one hypothetical cause is the presence of bacteria in the operative area. Dr. Zevon strives to lower the likelihood of occurrence of capsular contracture. Every effort is made to avoid touching of the implant. It is known that submuscular implant placement results in a much lower capsular contracture rate than subglandular placement. Submuscular placement is always recommended by Dr. Zevon in appropriate patients. Massage is also believed to lower the incidence, and is highly recommended by Dr. Zevon.
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