In some cases the capsule begins to shrink, squeezing the implant that it surrounds. Though the exact causes of capsular contracture
are largely unknown, there are factors that can contribute to this complication, including:
germ contamination during implantation
seroma (the development of extra fluid around implant)
hematoma (internal bleeding)
placement of implant above muscle (when placed bellow the muscle capsular contracture occurs with less frequency)
depending upon the severity the breast can feel firm or hard, become distorted, and begin to cause pain.
To cure or treat capsular contracture there are both surgical and non-surgical options.
prescribed antibiotics and vitamin e
. While this is not always effective as a cure, many surgeons will suggest that patients take a regular dose of vitamin E for the first year after augmentation as it helps to keep tissue soft.
Closed capsulotomy. The breast is forcefully squeezed in the hopes that the capsule pops or tears. This is not often done because it could cause the implant to rupture
and may void the manufacturer's warranty.
External ultrasound. May help reduce swelling and inflammation
and does not involve any major risks.
. This anti-inflammatory used in the treatment of asthma
has shown, in minor studies, to help regress capsular contracture. This is a relatively new and experimental treatment with no long-term statistical data.
open capsulotomy. The capsule surrounding the implant is surgically cut open in order to release the implant. After this is done, however, there is a chance of contracture occurring again.
Open capsulectomy. This is generally the most successful, as well as the most intensive, form of treatment. The entire capsule is removed, allowing new tissue to form around the implant. In some cases, surgeons will change the implant placement: for example if the implant is placed above the muscle the surgeon may place it underneath the muscle during capsulectomy in the hopes of better results.