What factors increase the risk of capsular contracture and implant displacement?

Breast augmentation surgery is the second most performed plastic surgery procedure in the US after liposuction. A popular type of breast augmentation surgery is the breast implant procedure, which involves the insertion and placement of prosthetic implants into the breasts through incisions. As a result, the breasts become more prominent and voluptuous.

Even though breast implant surgery is effective and delivers better outcomes, it is not free of complications. Two of the major complications that may happen after breast implant surgery are capsular contracture and implant displacement. These complications are rare; however, they cannot be ruled out.

Capsular contracture happens when the scar tissue that usually develops around the breast after surgery starts to contract and squeezes the implant. The contraction causes the breasts to become distorted. It also creates physical pain and discomfort. Implant displacement happens when breast implants change position within the pocket or get out of the pocket and migrate to other areas of the breasts.

Many women who want to get breast implants are curious as to what factors increase the risk of capsular contracture and implant displacement. Some of the factors are common, whereas others are different for both of these complications. The first and primary cause of capsular contracture and implant displacement is the use of huge implants.

The first cause of capsular contracture and implant displacement is the placement of the implant (particularly large implants) above the pectoral muscle. There are two options when it comes to implant placement within your breasts: under or over the pectoral muscle. When the implant is placed over the muscle, the risk of implant displacement ad capsular contracture becomes higher. It happens because the implants fail to get enough tissue coverage when placed over the pectoral muscle. To avoid this condition, you should have the implants placed under the pectoral muscles where they get sufficient tissue coverage.

Furthermore, the physical exertion of force can cause wound dehiscence that may lead to seroma or hematoma, which are known to cause capsular contracture if severe and left untreated. Also, infection of the implant can cause capsular contracture.

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