Capsular contracture is one of the most difficult problems seen following breast augmentation surgery. For this reason every effort should be made to avoid this complication before it occurs. Even when these efforts are made capsular contracture may still occur because of wound healing biology.
Several steps can be taken at the time of surgery to minimize the potential for this complication. These include submuscular implant placement, avoidance of large implants, meticulous hemostasis, and avoidance of infection and biofilm formation.
Following surgery, most surgeons recommend implant displacement exercises. When early signs of capsular contracture are noted, some surgeons start their patients on a course of vitamin E or Singulair. Many surgeons feel that these maneuvers are helpful, but no scientific evidence is available to support their use.
Despite these efforts, capsular contracture may still occur. If capsular contractures occur and don’t respond to conservative management surgical intervention may be necessary.
If you have a history of capsular contracture, it’s important to discuss the management of this problem with your plastic surgeon prior to surgery. Your surgeon should be able to formulate a treatment plant that minimizes the potential for this complication