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Capsular contracture

A capsular contracture is a potential complication of a breast implant and refers to a tightening and hardening of the capsule that surrounds a breast implant. It is a condition that can distort the shape and cause pain in the augmented breast. It seems to be the commonest complication post–breast augmentation surgery (approximately 17.5%). 

Pathology

Grading

The grade of contracture has been classified by Baker as following:

  • grade I - the breast is soft (but not the capsule is contracted)
  • grade II - the breast looks normal but is rather hard to the touch
  • grade III - the breast is hard, there is some distortion due to contracture and the breast becomes rounded shape, or the implant is generally moved upwards
  • grade IV - is similar to grade III but with progressive hardening of the capsule

Capsular contracture is a multifactorial condition, for which multiple solutions have been proposed, including alternative implant placement alternative filler material within the shell of the implant  and surface texture of the implant.

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