Everything You Need to Know About Capsular Contracture Treatment

There is absolutely no shame in wanting a breast enlargement. We live in a society where women have control over their bodies and can undergo cosmetic surgeries freely. But what happens when your procedure does not go as planned. During any invasive surgical procedure, there are always risks involved. It is important to understand these risks before you are rolled into any operating room.


During a breast augmentation procedure, there is a chance of capsular contracture happening. Not exactly sure what this capsular contracture is? Keep reading to learn about this condition and the capsular contracture treatment methods available.


What exactly is capsular contracture?


Capsular contracture is something that can happen after a breast enlargement. It is unlikely, but some patients of a breast augmentation experience distorted and hard breast. This condition can be extremely painful. Every breast implant eventually becomes surrounded by a capsule which is made up of small tissues.


Normally this capsule is soft and allows the implant to move around within it comfortably. In capsular contracture, the capsule walls become thick and rigid, allowing very little space for the implant. There are several traditional treatment options for capsular contracture, but the problem is likely to occur again in the future.


What causes this to happen?


A number of things can affect the health of the capsule surrounding the implant. Essentially what happens is the capsule becomes inflamed, and this is what causes it thicken and become rigid. The most common cause is trauma, bleeding, or infection from the breast augmentation surgery. It could also just be a natural bodily response to a foreign object (the silicone implant) being introduced into the body.


How is the severity of the capsular contracture measured?


Certain cases of capsular contracture are worse than others. For this reason, patients are graded based on the Baker Scale, and there are 4 levels:


Grade 1 – the breast is normally soft and appears natural in size and shape

Grade 2 – the breast is a little firm, but appears normal

Grade 3 – the breast is firm and appears abnormal

Grade 4 – the breast is hard, painful to the touch, and appears abnormal


How can capsular contracture be prevented from happening again?


There is one surgical center out there that has developed an effective surgical procedure for capsular contracture and can prevent it from recurring. Cassileth Plastic Surgery has a 3-step procedure for treating capsular contracture:

  1. Remove the infected implant and capsule
  2. Use an Acellular Dermal Matrix to prevent the problem from occurring again
  3. Treat the infection


Steps 1 and 3 are fairly self-explanatory, but what does step 2 mean?


According to Cassileth Plastic Surgery center, “Once the implant and capsule have been removed, our doctors create an internal bra with acellular dermal matrix (ADM)…The ADM allows the body’s natural reaction to occur: a healthy capsule can form and fuse with the ADM, keeping the pocket soft and pliable. It also supports the implants and keeps your breasts in the ideal shape and position.”

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