What is Capsular Contracture- As Explained by the USA FDA

Jul 31, 2011 by

Capsular contracture is the hardening of the breast around the implant. It can occur in the tissue surrounding one or both implants. This hardening causes the tissue to tighten, which can be painful.

Photograph shows Grade IV capsular contracture in the right breast of a 29-year-old woman seven years after placement of silicone gel-filled breast implants. Photograph courtesy of Walter Peters, M.D., Ph.D., F.R.C.S.C., University of Toronto.

Capsular contracture may be more common following infection, hematoma and seroma. However, the cause of capsular contracture is not known. There are four grades of capsular contracture, known as Baker grades.

Baker Grading Scale:

Grade I: Breast is normally soft and looks natural
Grade II: Breast is a little firm but looks normal
Grade III: Breast is firm and looks abnormal
Grade IV: Breast is hard, painful, and looks abnormal

Grades III and IV capsular contracture are considered severe, and may require reoperation. The surgical procedure usually involves removal of the implant with or without replacement of the implant. There is a possibility that capsular contracture could occur again after surgery to correct it.

Information and photograph from the FDA website: http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/ImplantsandProsthetics/BreastImplants/ucm064106.htm


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