Capsular Contracture- Before & After Photograph

Sep 27, 2011 by

Capsular Contracture Before and After

Finally, a great picture of how un-natural capsular contracture looks that also shows how capsular contracture squeezes breast implants. I found this picture on the following website, I don’t know this doctor and my writing should not be taken as an endorsement, but it appears he did an outstanding job correcting the capsular contracture found on both breasts.

As you can see in the before picture, capsular contracture squeezes and distorts the breast implants. The breast implant re-operation is performed to correct the aesthetic look following capsular contracture and to eliminate any pain associated with the capsular contracture squeezing the implant. Part of the pain and distorted look of the implant is due to the hardening of the capsule that surrounds the implant.

The doctors notes about this case: This patient presented to Dr. Yates with severe capsular contracture. Revision surgery required 1) removal of the previous silicone implant and hard capsule, 2) change from subglandular to submuscular implant pocket 3) replacement of new silicone implant of improved shape and size.

And the doctors notes about  capsular contracture in general:

What are the causes of capsular contracture?

There are a number of theories related to the cause of capsular contracture. Generally it is believed that either a low grade infection or excessive inflammation and scarring is to blame. Bleeding in the implant pocket either at the time of surgery or from subsequent trauma has been shown to increase the risk of capsular contracture. There are certain individuals that may have increased risks of capsular contracture including smokers and patients with certain autoimmune disorders.

A relatively new theory implicates biofilms as the primary cause of capsular contracture. Biofilms are multi-organism bacterial colonies that surround themselves with a covering that protects them from the immune system and antibiotics. It is thought that bacteria present at the time of surgery create this biofilm around the implant. The bacteria release chemicals that help them communicate with one another and that protect them from the host. They do not form an acute infection in the way that we usually think of an infection. It does not become red, hot or swollen. There is no pus. It becomes a chronic, low-grade infection. The inflammation associated with this biofilm may lead to a thick, tight breast implant capsule – the hallmark of capsular contracture.

How common is capsular contracture?

According to the FDA, the rate of significant capsular contracture at 5 years is 10%. This study looked a variety of implant types, surgeons, and surgical techniques. Dr. Yates has found that his rate of capsular contracture is substantially less than this (about 1 – 2%), likely for the reasons stated below.

Do the breast implants get hard with capsular contracture?

The implants themselves do not harden with capsular contracture. It is only the scar tissue, or capsule, around the implant that hardens.

Unfortunately for this doctor he is based in the USA and cannot reduce capsular contracture by using the type of breast implant- polyurethane foam covered silicone gel breast implants- that has demonstrated a much lower rate of capsular contracture than either textured or smooth implants. That is a shame, it seems this doctor does some great breast implant revision surgery and knows a good deal about capsular contracture.


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