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https://vimeo.com/album/4163832/video/184186949

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0 Comment February 8, 2017

Breast augmentation capsule contracture

Encapsulation of a breast implant that results in capsular contracture is the most common complication after breast enlargement. It is difficult to determine the exact incidence of capsular contractures because different variables have been shown to affect the manifestation of the problem. It is universally accepted that silicone implants lead to a higher chance of capsular contracture, although this is changing due to newer implants that have a better shell and less potential for silicone tissue reaction. It is well accepted that the incidence of capsule contracture for textured implants is much less when they are placed over the muscle, but when placed under the muscle both types have similar incidences of capsule contracture. The placement of the implant also affects the incidence of capsular contracture; it is generally accepted that if the implant is placed under the muscle, there is less chance of developing a capsular contracture.

To be on the conservative side, and assuming any given surgeon is using a specific set of implants, the incidence of capsular contracture can vary around 10% at 10 years.

All these different shortcomings have resulted in averages of capsular contracture that can go as high as 80%, but as I mentioned before, in most surgeons’ practices, the ballpark number is that 10% of patients will experience symptomatic capsular contracture that requires surgical intervention.

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