Impact of Capsular Contraction on Breast Augmentation

General information about breast augmentation

Breast augmentation, also known as augmentation mammoplasty, is a surgical procedure that aims to increase the size and improve the shape of the breasts. This is achieved through the placement of breast implants. Breast augmentation is an important decision that should be carefully considered. Below, we will provide detailed information about this procedure, including the reasons for considering it, the factors to consider before the procedure and the recovery process afterwards.

Breast augmentation procedure

The breast augmentation procedure usually involves the insertion of breast implants under the breast tissue or pectoralis muscle. There are different surgical techniques to perform this procedure, and the choice of technique will depend on the individual needs and preferences of each patient. During surgery, an incision will be made in the area selected for implant placement and the implants will be carefully inserted.

Reasons to consider breast augmentation

Breast augmentation may be a suitable option for those who wish to increase the size of their breasts or improve their appearance. Some of the common reasons for considering this procedure include:

  • Desire to increase breast volume and achieve a more balanced appearance in relation to the rest of the body.
  • Restore volume lost due to weight loss or pregnancy.
  • Correct asymmetries or congenital breast malformations.
  • Improve confidence and body image.

Factors to consider before the procedure

Before undergoing breast augmentation, it is important to consider some important factors. These include:

  • Conduct thorough research and consult with a board-certified plastic surgeon experienced in breast augmentation surgery.
  • Discuss individual expectations and goals with the surgeon to ensure that the procedure is appropriate and meets the patient’s needs.
  • Understand the risks and possible complications associated with breast augmentation.
  • Learn about the different types of breast implants available and make an informed decision about which is the most suitable for each specific case.
  • Discuss the recovery process and necessary aftercare with the surgeon.

Types of breast implants

There are several types of breast implants available for breast augmentation. The most common are silicone implants and saline implants. The following is a brief description of each type of implant and its main characteristics.

Saline breast implants

Saline breast implants are filled with a sterile saline solution. In the event that the implant shell ruptures, the saline solution will collapse and be absorbed and eliminated naturally by the body. These implants provide uniform shape, firmness and feel, and are FDA approved for breast augmentation in women over the age of 18.

Silicone breast implants

Silicone breast implants are filled with silicone gel. The gel has a consistency similar to natural breast tissue, providing a more realistic feel. In the event that the implant ruptures, the silicone gel may remain inside the shell or leak into the surrounding breast tissue. These implants are FDA approved for breast augmentation in women over 22 years of age.

Anatomical breast implants

Anatomical breast implants, also known as teardrop-shaped implants or “gummy bear implants” because of their gummy bear-like consistency, maintain their shape even if the implant shell ruptures. These implants have a larger projection at the bottom and taper towards the top, providing a more natural look. Placement of this type of implant requires a slightly longer incision in the skin.

Smooth and textured breast implants

Smooth breast implants have a smooth surface and move with the breast pocket, which can provide a more natural look and movement. On the other hand, textured breast implants develop scar tissue that adheres to the implant, which reduces the likelihood of implant movement. The choice between smooth and textured implants will depend on the patient’s individual preferences and the surgeon’s recommendation.

Risks and potential complications

While breast augmentation is generally safe, there are potential risks and complications associated with the procedure and breast implants. Some of the most common risks and complications include:

  • Capsular contracture: The formation of a capsule of scar tissue around the implant, which may cause hardness, distortion of the implant or discomfort.
  • BIA-ALCL and breast implant-related disease: There is an association between the development of a rare type of breast implant-associated large cell lymphoma and certain types of textured implants.
  • Common problems associated with breast implants: changes in nipple or breast sensitivity, breast pain, implant rupture or leakage.
  • Breast implants that produce less capsular contraction rate: Textured breast implants have a lower risk of capsular contraction compared to smooth implants.
  • It is important to discuss these risks and complications with the surgeon before making a decision about breast augmentation.

Post-procedure considerations

After breast augmentation, it is necessary to carefully follow the surgeon’s instructions for optimal recovery. Some important post-procedure considerations include:

  • Take time to recover and rest after surgery.
  • Use compression garments or sports bras as directed by the surgeon to provide additional support and positioning of the breast implants.
  • Avoid intense physical activity or heavy lifting for a recommended period of time.
  • Attend scheduled follow-up visits with the surgeon to assess progress and ensure adequate recovery.
  • Monitor breast implants and consult with the surgeon for any unusual changes or symptoms.


What is capsular contracture in breast augmentation surgery?

Capsular contracture is a common complication of breast augmentation surgery. It occurs when a capsule of scar tissue forms around the breast implant, which may cause hardness, deformity or discomfort. Capsular contracture may require medical attention and, in some cases, additional surgery may be necessary to correct it.

What are the risks associated with capsular contracture in breast augmentation?

Risks associated with capsular contracture in breast augmentation include implant deformity, discomfort and even chest pain. In some cases, capsular contracture may be painful or limit the natural movement of the implant.

How can capsular contracture be prevented in breast augmentation surgery?

Complete prevention of capsular contracture cannot be guaranteed, but there are measures that can help minimize its risk. These include choosing an experienced and certified surgeon, following all pre- and post-operative care instructions, and massaging the breasts as directed by the surgeon during the recovery process.

If capsular contracture is experienced after breast augmentation surgery, it is important to consult with the surgeon to assess the situation and determine the best course of action. In some cases, revision surgery may be necessary to correct capsular contracture and restore the natural look and feel of the breasts.

Remember, each case is unique and it is important to speak with a board-certified plastic surgeon for a personalized evaluation and recommendations.