Capsular contracture: Etiology, prevention, and treatment

Abstract

Capsular contracture has been the most common complication of breast augmentation surgery. This apparent overresponse to a foreign body has resulted in the most common reason for reoperation in both primary augmentation and revision augmentation. The author discusses presumptive causes of capsular contracture and treatment including preventive, medical, and surgical. Better implants with multilayered shells and more cohesive true silicone gel contents undoubtedly have helped reduce the rate of capsular contracture. The potential causes of capsular contracture must be eliminated during surgery, and treatment protocols for the recurrence of capsular contractures should include newer modalities such as the use of PRP, leukotriene inhibitors, and acellular dermal matrix (ADM) in preventing recurrences.