This is probably the most common reason for a breast augmentation revision. Rates of capsular contracture seem to be both surgeon and sometimes implant-related, and the incidence ranges from five up to even 30% of cases. Changes in implant technology and surgical techniques do seem to have reduced the rate of capsular contracture somewhat. No matter what the so-called experts say, we don’t know the real cause of capsular contracture. Sometimes it can even happen on one side and not the other side, despite doing the exact same procedure.

Somewhat surprisingly, when you are operating to correct it, despite the capsule sometimes feeling very hard on the outside, it looks totally normal on the inside. My approach in the first instance is to remove the implant and to score the capsule so that it opens up like an accordion. I then replace the implant with a new one. If the capsule looks diseased, then I’ll remove that as well, particularly the anterior component.

We use Mentor implants. Mentor upgraded their warranty in March of 2016, so for patients operated on since then, and for a period of 10 years from the time of your surgery, Mentor will pay $1,500 towards your surgery, as well as replace your implants for grade three and grade four capsular contracture. They will also replace the other side if your surgeon deems that necessary as part of your surgery. So that’s great peace of mind for our patients.