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What Is the Percentage of Capsular Contracture

Capsular contracture is a potential complication that can occur following breast augmentation surgery. It occurs when the body`s immune system responds to the presence of a foreign object, such as a breast implant, by forming a capsule of fibrous tissue around it. This capsule can become tight and distorted, leading to discomfort and changes in the appearance of the breast.

The percentage of women who experience capsular contracture following breast augmentation surgery varies depending on a number of factors. These include the type of implant used, the surgical technique employed, and individual patient factors such as age and genetics.

Research studies have reported rates of capsular contracture ranging from 2% to 20%. A 2017 meta-analysis of 33 studies found an overall incidence of capsular contracture of 9.8%. However, the rates of capsular contracture vary depending on the type of implant used. For example, one study found that the incidence of capsular contracture with silicone gel implants was 19.4%, while with saline implants it was 8.6%.

The surgical technique used can also impact the risk of capsular contracture. Research has suggested that the use of a surgical device called a Keller Funnel may reduce the risk of capsular contracture by minimizing handling of the implant during insertion. Additionally, the placement of the implant can impact the risk of capsular contracture. A submuscular placement, where the implant is placed underneath the chest muscle, has been associated with a lower risk of capsular contracture than a subglandular placement, where the implant is placed above the muscle.

While capsular contracture can be a frustrating and uncomfortable complication following breast augmentation surgery, it is important to note that it is not a life-threatening condition. Women who experience capsular contracture can often undergo revision surgery to correct the issue. Additionally, newer implant technologies and surgical techniques may help to further reduce the incidence of this complication in the future.

In conclusion, the percentage of capsular contracture following breast augmentation surgery varies depending on a number of factors. While the overall incidence of this complication is relatively low, it is important for women considering breast augmentation surgery to be aware of this potential risk and to discuss it with their surgeon as part of the decision-making process.