capsular contracture


Also found in: Wikipedia.

capsular contracture

a tightening of a normal membrane around a prosthetic implant, probably due to proliferation of myofibroblasts; results in deformation of the implant or its soft tissue covering, or both, and in variable symptoms. Noted with particular frequency in association with silicone breast implants.
A complication of breast implant surgery, characterised by discomfort, retraction of the fibrous capsule around a implant, with induration/hardening and/or distortion; the severity of CC is based on the Baker grading system

capsular contracture

Breast surgery Tightening of the capsule around a breast implant, which may be accompanied by discomfort, implant distortion

Capsular contracture

Thick scar tissue around a breast implant, which may tighten and cause discomfort and/or firmness.
Mentioned in: Breast Reconstruction
References in periodicals archive ?
According to the company, its products can be used for fat grafting to the breast, buttock or large volume contouring; natural breast augmentation; and breast reconstruction, capsular contracture, radiated breast or body tissue, deformities after injuries, orthopaedic procedures and facial rejuvenation and reconstruction.
1) Silicone and saline implants are routine options, despite mixed outcomes and reports of complications, most notably capsular contracture, numbness, leaking and breaking, as well as reoperations involving implant replacement and removal.
However, factors such as increased risk of developing serious complications including deflation, capsular contracture, infection, and breast and nipple sensitivity; and high costs of the implant procedure are expected to restrain the growth of the global breast implants market over the forecast period.
Currently, breast defects are not properly reconstructed but only temporary filled with silicone implants, which however present several drawbacks such as the need of substitution after approximately 10 years, rupture (30% of incidence), leakage and capsular contracture.
Baker grades (I-IV) are a clinical assessment of capsular contracture based on the degree of breast hardening and immobility (Figure 15).
By that point there's more chance of the implant hardening (see capsular contracture box, below), or the shell of the implant rupturing.
They also address problems in reconstruction with prosthetic devices, including capsular contracture, implant and expander malposition, and failed expander/implant reconstruction; problems in reconstruction with autologous tissue, such as failed tissue transfer and persistent volume deficiencies; deformities associated with lumpectomy, partial mastectomies, and radiation; cancer recurrence after reconstruction; and problems associated with the nipple-areola complex.
There appears to be better outcomes with the newer implants, a lower incidence of capsular contracture, and a high-degree of patient satisfaction.
We also intent to characterize the antimicrobial sensitivity profile for the identified microflora and calculate the rate of postoperative infections and capsular contracture at time points of primary and secondary interest of 6 months and 1 year, respectively.
Nagor are the only manufacturers to offer a lifetime guarantee for rupture and free replacement for capsular contracture, an abnormal reaction which causes breast tissue to harden around the implant.
The most frequently observed complications and outcomes are capsular contracture, reoperation, and implant removal.