If you have scar tissue or thickened and hardened areas in your breast after breast augmentation or breast reconstruction, your plastic surgeon may recommend a capsulectomy. When is this procedure done, how is it done, and how effective is it in resolving the problem? Capsulectomy is the surgical removal of scar tissue or capsule that has become thickened and hardened around a breast implant. The capsule is composed of fibroblasts, collagen, and blood vessels and is known as capsular contracture. The formation of a capsule is normal, yet when it becomes thick or contracts, it squeezes the implant causing it to become distorted and painful. Capsular contracture is the most common complication of breast augmentation procedures.
Removing Hardened Scar Tissue From a Breast Implant
Capsular Contracture Repair Surgery - Breast Implant Complication
As a result, the breast may feel painful and stiff, and the capsule may affect the appearance or shape of the breast. Capsules actually form around every breast implant, silicone or saline. It is only when that scar tissue tightens or contracts and restricts the movement of the implant that the breast may develop capsular contracture. Symptoms of capsular contracture often begin within months of the original breast augmentation surgery, but capsular contracture can occur at any time. About 75 percent of capsules occur within the first two years following surgery. If a capsular contracture occurs around a gel implant many years after augmentation, it could be a sign of an implant rupture.
Capsular contracture is the most common complication following implant based breast surgery and is one of the most common reasons for reoperation. Therefore, it is important to try and understand why this happens, and what can be done to reduce its incidence. A literature search using the MEDLINE database was conducted including search terms 'capsular contracture breast augmentation', 'capsular contracture pathogenesis', 'capsular contracture incidence', and 'capsular contracture management', which yielded 82 results which met inclusion criteria. Capsular contracture is caused by an excessive fibrotic reaction to a foreign body the implant and has an overall incidence of Risk factors that were identified included the use of smooth vs.
Sometimes, no matter how skilled a patient's plastic surgeon is, complications arise during or after surgery. This is the case because everyone's body is different. The composition of connective tissue varies widely from one patient to another, for instance, and this means that each patient's healing process is entirely unique. This is why some people tend to develop thick scar tissue after any kind of penetrating skin injury, while others can sustain deep cuts and develop only subtle scarring that fades over time.