Capsular Contracture Repair after Breast Augmentation

A certain number of women will experience capsular contracture (a hardening of the breast caused by scar tissue surrounding the implant) after a breast augmentation. Research into this phenomenon points to either bleeding or infection (which may be subclinical) as the two most likely causes. Both of these conditions result in inflammation which is the first step in scar formation and thus capsule formation.

The usual treatment is to remove the implant, remove the capsule and replace the implant. A drain is usually placed as well. But even this treatment doesn't work in some patients.

The use of a lining agent such as Strattice to cover the implant is often used in breast reconstruction where covering tissues, especially when tissue expansion is used, can be quite thin. In these cases it was seen that patients had a very low incidence of capsular contracture. The presence of the extra material, especially covering the implant where there is no overlying muscle seems to impede the formation of capsules. The big drawback is the cost of the material ($2600 for two sides) and the fact that the operation takes a bit longer which can also add costs. It is all worth it if a soft, compliant result can be obtained in an otherwise very difficult situation.

I just used Strattice for the first time for this application in a patient that had a recurrent capsule. Everything went very smoothly. I look forward to seeing her long term results. If you or a friend have experienced a problem after breast augmentation, this procedure holds great promise.

All the Best,

Dr. Jabs