Why Does Capsular Contracture Happen and How Can It Be Prevented?
5/23/2025
While most people have a smooth and successful recovery from breast augmentation, complications can occur. One of the most talked-about concerns is capsular contracture.
Capsular contracture happens when the body forms scar tissue around a breast implant, causing the breast to become hard and painful. While it's not always preventable, patients can reduce their risk by choosing a skilled surgeon, opting for submuscular placement, and following post-operative care instructions.
If you have questions about capsular contracture, call Plastic Surgery Services of Fredericksburg for a consultation in Fredericksburg, VA. We can discuss your options and help you get started with surgery.
Understanding capsular contracture
Capsular contracture refers to the hardening or tightening of the scar tissue, also known as the capsule, that forms around an implant during breast augmentation recovery. While some level of capsule formation is a normal reaction to a foreign object in the body, capsular contracture occurs when this tissue becomes excessively thick or contracts around the implant.
What are the signs of capsular contracture?
Common signs of capsular contracture include:
- Breast firmness: An unusual level of firmness in one or both breasts.
- Change in breast shape: A noticeable change in breast shape may lead to problems like asymmetrical breasts.
- Discomfort or pain: Pain, tenderness, or tightness in the chest muscles.
If you notice these signs, contact our team in Fredericksburg, VA right away. Early intervention may prevent further complications and improve your outcome.
Why does capsular contracture happen?
The exact cause of capsular contracture isn't known, but several factors contribute to its development:
- Contamination: Introducing harmful bacteria during breast augmentation surgery.
- Trauma or injury: Damage to the breast area post-surgery that disrupts the healing tissue.
- Surgical techniques: The placement of the implant (above or below the muscle), incision site, and implant type (smooth or textured) can all increase the risk of capsular contracture.
How to prevent capsular contracture
While there's no way to remove your risk, the following steps can minimize your chance of developing capsular contracture:
- Choose a skilled surgeon: One of the most important steps in preventing complications like asymmetrical breasts is choosing an experienced plastic surgeon. They should also have a good track record of successful outcomes.
- Opt for submuscular implant placement: Research shows that placing the implant beneath the chest muscle (submuscular placement) can reduce the likelihood of scar tissue compared to placing it above the muscle (subglandular placement).
- Follow post-operative instructions: This means taking prescribed medications and attending follow-up appointments with a trusted team.
Are breast implants safe?
After learning about capsular contracture, you may be wondering, "Are breast implants safe?" Breast implants are generally considered safe for most women. However, like any surgery, there are potential risks that should be discussed with a specialist. Rest assured that our team will provide the necessary information and support so you can make an informed decision about breast implants.
Discuss the possibility of breast augmentation
Signs of capsular contracture, like a change in breast shape, may be concerning at first. By understanding the causes and taking preventative care, you can be set up for a successful recovery and beautiful, long-lasting results.
Are you concerned about issues like asymmetrical breasts or have questions about preventing post-surgery complications? Do you have questions such as, "Are breast implants safe?" At Plastic Surgery Services of Fredericksburg, our surgeons are here to help. Book a consultation in Fredericksburg, VA, to learn how we can help you achieve the confidence and look you desire.