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Capsular contracture breast implants

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By Editorial Staff. The capsule is necessary for supporting the implant, especially in the upright position. However, the capsule is also the source of the most common complication after breast augmentation: capsular contracture. Capsular contracture is an abnormal response to chronic inflammation, causing a build up and tightening of collagen fibers in the scar capsule, as well as the formation of an abnormal cell called a myofibroblast, which can both produce collagen and contract like a muscle cell. This causes gradual deformation of the breast implant as it is constricted into a smaller space, with greater apparent firmness. This problem can be subtle, causing minimal changes to appearance and firmness, or severe, with significant implant deformation, migration, and hardness.
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Capsular Contracture

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Capsular Contraction in Breast Implants

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. In some women, a tissue capsule forms that is unusually hard and dense. The capsule tightens around and squeezes the implant.
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Capsular Contracture in Breast Implants

A thin scar tissue membrane, called a capsule, normally surrounds medically implanted objects like breast implants. Sometimes the capsule becomes abnormally thickened and shrinks, compressing the implant. This abnormal process…. The nonsurgical treatment of capsular contracture is generally ineffective.
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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 implants , capsular 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. Both non-surgical and surgical options are available, and the best option depends on the severity of the contracture as well as personal preference.
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