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Capsular contracture is a problem that can happen after breast enlargement surgery. It can make the breast implants hurt and change how they look. When we teach our Las Vegas patients about this condition at Smith Plastic Surgery, we know it’s important for them to make smart choices and lower their risk of getting it. We will talk about the reasons, signs, and ways to avoid capsular contracture in this in-depth guide.

I. What Is Capsular Contracture?

Capsular contracture is a natural response of the body to the presence of foreign objects, such as breast implants. It involves the formation of a thickened scar tissue capsule around the implant, which can tighten and squeeze the implant, leading to various complications. Understanding the factors that contribute to its development is crucial.

II. The Causes of Capsular Contracture

Several factors can contribute to the development of capsular contracture. By understanding these causes, you can take steps to reduce your risk.

A. Bacterial Contamination

One possible cause of capsular contracture is bacterial contamination during the surgery or in the implant pocket. This contamination can trigger an inflammatory response, leading to the development of excessive scar tissue.

B. Implant Rupture or Leakage

If a saline implant ruptures, it can introduce bacteria into the implant pocket. Silicone gel implants, on the other hand, may leak silicone into the surrounding tissue, causing inflammation and potentially contributing to capsular contracture.

C. Infection

Infections in the surgical site can lead to capsular contracture. Proper preoperative and postoperative hygiene measures are essential to minimize the risk of infection.

D. Implant Size and Type

This problem can also be caused by the size and type of breast implant that is used. Larger implants and certain implant textures, such as textured implants, may have a higher risk.

III. Recognizing the Symptoms of Capsular Contracture

Detecting capsular contracture in its early stages is crucial for effective treatment. Patients should be vigilant about the following symptoms:

A. Breast Pain or Discomfort

One of the most common symptoms of capsular contracture is breast pain or discomfort. This discomfort can vary in intensity and may be constant or intermittent.

B. Breast Firmness

As the scar tissue around the implant tightens, the breast may feel unusually firm or hard to the touch. This change in texture is often a clear sign of capsular contracture.

C. Changes in Breast Shape or Position

When there is capsular contracture, the breast implant may move or change shape. This may manifest as a visible distortion or asymmetry in the breasts.

D. Breast Implant Visibility or Rippling

In some cases, capsular contracture can make the edges or wrinkles of the breast implant more visible through the skin. This can be particularly noticeable with saline implants.

IV. Preventing Capsular Contracture

Prevention is always the best approach when it comes to capsular contracture. At Smith Plastic Surgery in Las Vegas, our experienced surgeons prioritize strategies to minimize the risk of this complication:

A. Prophylactic Antibiotics

Administering prophylactic antibiotics before and after surgery can reduce the risk of infection, which is a potential trigger for capsular contracture.

B. Implant Placement and Surgical Technique

Our skilled surgeons are meticulous about implant placement and surgical technique. Proper positioning and gentle handling of tissues during surgery can help reduce the risk of capsular contracture.

C. Regular Follow-Up Visits

We encourage our patients to attend regular follow-up visits after breast augmentation. This allows us to monitor the healing process and detect any early signs of capsular contracture.

D. Massage and Compression

Some patients may benefit from postoperative breast massage or compression exercises to help prevent excessive scar tissue formation.

E. Implant Selection

We work closely with our patients to choose the right implant size and type for their body and lifestyle. This personalized approach can lower the risk of complications, including capsular contracture.

F. Patient Education

At Smith Plastic Surgery in Las Vegas, we believe that well-informed patients are better equipped to make decisions that support their health and well-being. Our team provides comprehensive education on the risks and benefits of breast augmentation to ensure patients have realistic expectations and can actively participate in their own care.

V. Treatment Options for Capsular Contracture

Despite taking preventative measures, capsular contracture can still occur. In such cases, it’s essential to discuss treatment options with your surgeon. These may include:

A. Non-Surgical Interventions

Non-surgical treatments, such as medication or ultrasound therapy, can sometimes help soften the scar tissue and alleviate symptoms.

B. Surgical Revision

If the problem is really bad, surgery might be needed. The rigid shell has to be taken off, and the implant has to be replaced or moved.


There is a chance that capsular contracture will happen after breast implants, but if you know about it and take precautions, you can greatly lower the risk. At Smith Plastic Surgery in Las Vegas, our commitment to patient education, meticulous surgical techniques, and personalized care ensures that our patients have the best chance of achieving beautiful and natural-looking results while minimizing the risk of capsular contracture. If you have questions or concerns about breast augmentation or capsular contracture, don’t hesitate to reach out to our experienced team for guidance and support. Your journey to enhanced confidence and self-esteem starts with a consultation at Smith Plastic Surgery.