A female asked:
how common is capsular contracture after breast reconstruction? a friend had capsular contracture after her augmentation and said it was very painful. i'm worried the same thing could happen to me after my breast reconstruction
5 doctor answers

Dr. Daniel Downey answered
38 years experience Plastic Surgery
Hello,
Capsular : Hello,
capsular contracture occurs after breast augmentation at a rate of less than 10%, usually in the range of 5 to 10%. The outcome after the operation during the first year is generally predictive of whether someone will develop a bad capsule.
Measures to moderate capsular contracture after breast augmentation include range of motion of the shoulders and gentle massage of the augmented breasts.
The severity of capsular contracture varies. Mild capsules are generally not very symptomatic and not very bothersome, ranging up to very severe rigid fixed firm capsules that are uncomfortable. Fortunately, this is rare. Work with your plastic surgeon after augmentation in pursuit of the best, softest, most natural result you can obtain.
Good luck
dan downey M.D. Facs
downey plastic surgery.
Answered on Oct 3, 2016

Dr. Robert Brueck answered
48 years experience Plastic Surgery
After : After the implantation of any foreign object or device there will be a capsule 100% of the time.This is your body's normal response to the presence of a foreing body.www.beautybybrueck.com.
Answered on Oct 4, 2016

Dr. Otto Placik answered
34 years experience Plastic Surgery
Capsular : Capsular contracture is more common after breast reconstruction when compared to breast augmentation and is even higher following radiation occuring with a reported rate of up to 20%.
Answered on Oct 4, 2016

Dr. Alex Lechtman answered
30 years experience Plastic Surgery
Rare: Capsular contracture is rare after implant reconstructioin but is more common after reconstruction than after primary augmentation. Talk with a plastic surgeon about the risks and rewards of breast reconstruction.
Answered on Jun 25, 2016

Dr. Gary Tuma answered
25 years experience Plastic Surgery
Capsular contracture: Every patient who has an implant gets some form of a capsule around the implant. How firm, thick or painful the capsule can be, varies. The classification system for capsular contracture is baker's classification i-iv. The capsular formation can also depend on additional treatments especially for reconstruction such as radiation can worsen capsular contractors.
Answered on Nov 13, 2013
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