Normally, tissue will surround the implant and form a scar which will be unnoticeable on the outside of the breast. In the case of capsular contracture, the scarring is extreme and becomes visible, tightening around the implant and giving it an unnatural squeezed look. The condition is unsightly and depending on the severity, can cause physical discomfort as well as emotional problems.



It is unknown exactly why certain individuals are more prone to capsular contracture than others, but one method that seems to aid in its prevention is after surgery breast implant massage.

Usually this technique is only used with smooth implants, as textured ones are not meant to be shifted. It is best to consult with your surgeon on what he or she suggests before attempting a post operative breast massage.

The basic theory is that by "massaging" the breast after surgery, the device shifts within the pocket, allowing it to stay open, making it difficult for the tissue to constrict around the implant. The technique is normally begun a few days after surgery and is performed once every few hours.

You will still be very sore and tender so be gentle with your motions. The point is just to shift the implant. The actual massage is usually a simple squeezing motion. You are trying to move it around in the pocket that was created for it. They should be moved up and also to the sides of the breasts.

Your surgeon will recommend the length of time the practice should continue for. Some will recommend only a few months while others believe that breasts should be massaged for the lifetime of the implants. Implant compression might also be suggested as a course of treatment. This involves squeezing the actual implant.

There are other preventative measures to take in order to avoid capsular contracture:

1) If you're a smoker, stop as soon as possible. The longer you quit before your surgery the better your chances of a smooth recovery.

2) Stop taking aspiring and other pain relievers that are unnecessary at least two weeks before surgery or as your doctor recommends.

3) Certain placements, such as sub-glandular, have a higher risk for development of capsular contracture, as do smooth textured devices. Discuss placement and options with your surgeon to determine the best course of action.

4) And of course, always follow of your doctor's instructions before and after surgery.

There is no certainty if any of these measure will prevent the occurrence of capsular contracture, so be prepared to accept it as a risk if you choose to undergo breast augmentation. Fortunately, if you do find that one or both breasts have constricted, revising the problem is usually a simple process that will cause little if any long-term damage. Many women have the problem successfully removed and are still able to keep their implants.