Breast Augmentation pp Cite as. Local and systemic reactions of the body to silicone gel implants are still under discussion and are the subject of intensive research to improve biocompatibility. Histologically, fibrous capsules show a three-layer composition.
A breast implant is a silicone shell filled with either silicone gel or a salt-water solution known as saline. This is a good option for women who do not require radiation therapy for their breast cancer treatment. It also may be easier to control the final size of the breast with implant reconstruction in some cases.
Capsular contracture is the most common complication following implant based breast surgery and is one of the most common reasons for reoperation. Therefore, it is important to try and understand why this happens, and what can be done to reduce its incidence. A literature search using the MEDLINE database was conducted including search terms 'capsular contracture breast augmentation', 'capsular contracture pathogenesis', 'capsular contracture incidence', and 'capsular contracture management', which yielded 82 results which met inclusion criteria.
Capsular contracture is a common complication of breast implant surgery. A breast should be soft, flexible, and drape naturally, even if it is a reconstructed breast that was surgically created after a mastectomy. If you have saline or silicone breast implantscapsular contracture can cause your reconstructed breast to shift, change shape, or feel quite hard. If this happens in your case, you can get treatment to correct the problem.
Sometimes, no matter how skilled a patient's plastic surgeon is, complications arise during or after surgery. This is the case because everyone's body is different. The composition of connective tissue varies widely from one patient to another, for instance, and this means that each patient's healing process is entirely unique.
Once a breast implant is in place, fibrous scar tissue forms around it, creating a tissue capsule. The body forms a protective capsule like this around any object it recognizes as foreign. The tissue capsule is usually soft or slightly firm, not noticeable, and helps to keep the implant in place.
A large number of clinical studies have reported that the different materials used in breast implants were a possible cause of the different incidence rates of capsular contracture observed in patients after implantation. However, this theory lacks comprehensive support from evidence-based medicine, and considerable controversy remains. In this study, a cumulative systematic review examined breast augmentation that used implants with textured or smooth surfaces to analyze the effects of these two types of implants on the occurrence of postoperative capsular contracture.
Capsular contracture is the term used to describe scar tissue that can form around breast implants which may cause the breasts to harden, may cause the breasts to look or feel different, and may cause some discomfort from the tightening of the capsule. Capsular contracture is an unpredictable complication, but it is also the most common complication following breast augmentation. Although presently we do not know what causes a capsular contracture to form in one woman and not in another, or why one breast may harden while the other remains completely soft and natural, there are some techniques that have reduced the risk in our patients.
This website is not intended to be photographic representation of all breast implant complications. You should refer to our breast implant consumer handbookfor a description of potential breast implant complications. For the items included below, we have first defined that complication and then provided an example of a specific case.