What Causes Capsular Contracture?

There are probably several causes that affect some patients and not others. There are some factors that may increase the risk of capsular contracture.

1. Smoking 
   The rate of capsular contraction is twice as high in smokers. Mr Turton advises all of his patients not to smoke.
2. Infection 
   Capsular contracture is more likely following an infection. It may occur following sub-clinical infection.
3. Sub glandular placement 
   Breast implants placed above the muscle tend to have higher capsular contracture rates, versus breast implants placed behind the muscle, which is also known as submuscular placement. But remember there are other pros and cons to be taken into account in deciding on implant placement, and your specialist will discuss these.
4. Haematoma 
   This is a collection of blood around the implant. It can cause an inflammatory reaction, which can lead to capsular contracture. It is advisable to place a temporary drain at the time of surgery which is removed immediately before your discharge home. This removes even small volumes of blood which otherwise would be left around your implant by those surgeons that don’t routinely drain.
5. 

   L. Smooth Implant R. Textured Implant

   Smooth Surface Implants 
   The smooth surface implants seem to be associated with a significantly higher capsulation rate than the rough surfaced type. These rough surfaced implants were a new design change introduced over 10 years ago. The process is called “texturing”. There are different ways to texture the implant. The textured implants inhibit the capsulation process and do dramatically reduce it’s occurence. The textured implants also unite better to the back of the breast tissue reducing risks of a rotation of a shaped implant. Occasionaly you make get some texture-rippling form, if minor capsulation occurs with a textured implant in place.

6. Previous capsulation 
   If you have had previous capsulation it is much more likely to occur again. There may be a genetic reason for this related to wound healing. This is unknown though.

Breast soreness, breast tenderness, pain in the breasts, burning breast, swollen breasts may all be signs you may be suffering from capsular contracture.

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