Capsular Contracture

 

Whenever a foreign material is placed within the body, our body reacts by trying to do one of two things: destroy it or wall it off from the rest of the body. In the case of breast implants, the body will naturally wall off the implant and form a thin capsule of tissue around it. Most times this capsule is very thin and is helpful in holding the implant in proper position. But, there are occasions where the capsule becomes thicker and begins to compress the implant. This is known as capsular contracture.

 

While the true cause of capsular contracture is unknown, there are several contributing factors that may increase the likelihood of developing this issue. Researcher believe those patients with a family history of autoimmune disease or develop a biofilm on the implants may have a slightly elevated risk of developing capsular contracture. Data also suggests the presence of fluid or blood collections (seroma/hematoma) may increase the risk of developing capsular contracture.

See Below for additional information about Capsular Contracture

 

Additional Information

  • Capsular contracture is not dangerous to your health unless the implants are ruptured in which case the ruptured material can sometimes lead to infection.

  • While it may be impossible to prevent capsular contracture in every patient, there are steps taken during the placement of the implant that can limit the risk of this developing such as very careful control of bleeding, antibiotic irrigation of the breast pocket, limited handling of the implant, and placement of the implant underneath the chest muscles.

  • While the degree of capsular contraction is important in the treatment of this condition, many surgeons still opt to remove the breast implant and surrounding capsule along with aggressive irrigation with antibiotics of the breast pocket.

    Current recommendations are to have an implant holiday to allow the settling of the tissues and clearance of any residual bacteria that may present prior to replacement of the breast implant or alternatively switching the pocket in the chest wall that the implant was in (i.e. if on top of the muscle then place it underneath the muscle).

  • No. Currently, there are no non-surgical treatment options to successfully eliminate capsular contracture

  • Most patients will experience soreness, swelling and bruising from the removal of the implant and capsule. This is well managed with oral pain medications and avoidance of heavy lifting. Depending on whether an implant is replaced or left to heal before a second procedure, a drain may be used to collect any potential fluid buildup and allow for proper healing.

  • The cost of treating capsular contracture can range from $2750 - $4000 depending on what surgical procedures are needed to accomplish desired goals. This will be decided at your consultation appointment. This price does not include OR, implant or anesthesia fees.

Interested? Find out what’s next!

If you are interested in having your capsular contracture addressed and you reside in or near Washington, DC, or you are planning to visit this area, call Dr. Maiorino's office to schedule an initial consultation, or CLICK HERE to schedule now!

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