Capsular Contracture

Capsular Contracture

Capsular contracture is the most common complication in interventions of breast implants. It is not a rejection of the prosthesis, but an abnormal scar reaction around the implants which causes the implants to become hard and the breasts feel tender and often painful to touch.

Our body in the presence of a foreign body reacts by forming a scar to his around as a capsule, which isolates and protects us from the possible harmful effects health. In all cases of breast implants form a capsule surrounding the scar prosthesis, and is usually less than a millimeter thick. Being so fine touch of the prosthesis is similar to the natural feel of the breast.

Why does Capsular contracture occur?

No one knows exactly why it originates, the reality is that in certain cases the reaction scar is very energetic and capsule shrinks and acquires a thickness of several millimeters. of This deformed the implant making Marera losing its natural feel, cause pain coming more advanced cases. It is proven that implants placed behind the muscle pectoralis major have fewer capsular contractures.

When is capsular contracture detected?

It is easy to guess that we will not find their symptoms immediately after surgery, will appear from the third week, as has sufficient time to produce the thick scar around the implant.


Although sometimes affects both implants than usual is that the contraction occurs in one of both breasts. This hardens and rises, leaving an unnatural look deformed. Thus, if viewed from the front is observed which is located three or four inches higher, and if you look profile your silhouette stands on the healthy side. In more serious cases the contracture is tender to explore the breast, or permanently throughout the day forcing the patient to the intake of analgesics.

Mobilization of breast prosthesis

In some cases it is possible to solve this problem by manipulation. An expert surgeon may lead to rupture of the capsule causing the expansion of the pocket that houses the implant, restoring mobility and soft feel of the breast. However, the hard, thick capsule not eliminates being useless in the most serious cases, also runs the risk of damaging the prosthesis.


To her way of using the collision or either periareolar scar, or submammary without it is very difficult to accomplish by the axillary route. There are two techniques:

The capsulotomy. It is to break the capsule with a scalpel and expand the pocket. The clinic has ruled this method because the capsule remains thick and it was found that increasing the number of recurrence.

The capsulectomy. In which the capsule is dissected and removed from the breast tissue, allowing its extraction. It is the best option because after surgery, the chest is not vestiges of suffering complications and subsequent contracture rate drops significantly. Whenever drains are left to drain the blood that can accumulate in the pocket


General anesthesia and only in exceptional cases where capsulotomy is performed using assisted local anesthesia with sedation.


In most cases this surgery is effective, although it is sometimes necessary to repeat achieve a satisfactory result

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