Capsular Contracture and Other Complications: What You Need to Know

Jul 9, 2025 - 19:33
 2

Breast augmentation is one of the most popular and rewarding cosmetic surgeriesbut like any surgical procedure, it carries some risks. While most patients are thrilled with their results, its important to be informed about potential complications so you can recognize symptoms early and take appropriate steps.

One of the most commonly discussed risks is capsular contracture, but there are others to be aware of too. Lets break them down.

What Is Capsular Contracture?

After breast augmentation, your body naturally forms a thin layer of scar tissue (called a capsule) around the implant. This is normal and expected. However, when the capsule becomes abnormally hard or tight, it can squeeze the implantleading to discomfort and visible distortion.

Symptoms May Include:

  • Firm or hard breast

  • Visible distortion or shift in breast shape

  • Discomfort or pain

  • A breast that rides higher than the other

What Causes It?

While the exact cause isnt always clear, several factors can increase the risk of capsular contracture:

  • Bacterial contamination or biofilm on the implant surface

  • Hematoma (bleeding near the implant post-surgery)

  • Smoking or poor healing

  • Implant rupture or leakage

  • Subglandular (above muscle) implant placement

How Is It Treated?

Mild cases may improve on their own or with medication, but moderate to severe contracture often requires surgical correction. Options may include:

  • Capsulectomy (removal of the scar capsule)

  • Implant exchange

  • Repositioning the implant beneath the muscle

  • Use of textured implants or acellular dermal matrix to reduce recurrence

Other Possible Complications

1. Implant Rupture or Leakage

  • More common with older implants

  • Silicone ruptures may be silent (undetected without imaging)

  • Ruptured implants need to be removed or replaced

2. Rippling or Wrinkling

  • Occurs more often with saline implants or in patients with thin breast tissue

  • Can sometimes be seen or felt under the skin

3. Infection

  • Rare, but may require implant removal and antibiotics

  • Usually occurs within the first few weeks after surgery

4. Changes in Nipple Sensation

  • Numbness or hypersensitivity may occur temporarily or, in rare cases, permanently

5. Implant Displacement or Rotation

  • Can lead to asymmetry or unusual appearance

  • May require revision surgery to correct

Reducing Your Risk

While no procedure is entirely risk-free, you can take proactive steps to minimize complications:

  • Choose a board-certified plastic surgeon

  • Follow all post-op instructions carefully

  • Avoid smoking before and after surgery

  • Attend all follow-up appointments

  • Alert your surgeon immediately if you notice unusual changes

Planning a Breast Augmentation in Sarasota?

Patients considering Breast Augmentation Sarasota should feel reassured that complications like capsular contracture are rare, especially when surgery is performed by a skilled and experienced provider in an accredited facility.

If you're researching options for Breast Augmentation Sarasota ,FL, make sure your consultation includes a discussion about potential risks, how they're managed, and what steps your surgeon takes to prevent them.

Final Thoughts

While breast augmentation complications can sound concerning, being informed is the best way to protect your investment and health. Capsular contracture is treatable, and most complications are rare with proper surgical technique and post-op care.