Capsular contracture
is the build up of scar tissue that commonly occurs with plastic or reconstructive surgery. The condition is most commonly associated with breast implants, but also can develop around other surgical implants such as artificial joints or pacemakers.
Scar Tissue
According to the Mayo Clinic, with capsular contracture not only does the scar tissue surround the implant but may eventually start to constrict it as well, causing discomfort, restricted movement and pain.
Early Capsular Contracture
Capsular contracture occurring within the first year of surgery is considered early. Scar tissue is commonly incited by the presence of Staphylococcus epidermidis bacteria in early contracture. Otherwise benign, the bacteria encourages the scar tissue to contract around the implant.
Late Capsular Contracture
Late contracture occurs beyond the first year of surgery and is frequently caused by rupture of a silicone implant. The silicone irritates the surrounding scar tissue causing inflammation.
Treatment
Treatments commonly include surgical removal of the implant as well as the surrounding scar tissue. Other treatments include massage or ultrasound treatments to help loosen and disperse the dense tissue.
Prevention
Choosing saline implants over silicone for breast augmentation or reconstruction can reduce the risk of late capsular contraction. According to the American Society of Plastic Surgeons, a "no-touch" method of implant surgery---where only the head surgeon makes direct contact with the implant and gloves are washed continuously to reduce the chance of bacterial introduction---may also reduce the chances of contracture.
Tags: Capsular Contracture, first year, first year surgery, scar tissue, scar tissue, surrounding scar
