Capsular Contracture: What is It? What Causes It? How Can It Be Prevented and Managed?

Research output: Contribution to journalReview articlepeer-review

170 Scopus citations


For more than 40 years capsular contracture has plagued plastic surgery as the most common complication of aesthetic and reconstructive breast surgery. This article reviews the basis for capsular contracture and defines the methods to prevent it and treat it when it occurs. Capsular contracture is most commonly a result of a subclinical colonization of the implant pocket with bacteria. Sound techniques-including precise, atraumatic, bloodless dissection; appropriate triple antibiotic breast pocket irrigation; and minimizing any points of contamination during the procedure-have produced very low capsular contracture rates. Treatment of capsular contracture is most often surgical total capsulectomy with site change when indicated and replacement with a new implant.

Original languageEnglish (US)
Pages (from-to)119-126
Number of pages8
JournalClinics in Plastic Surgery
Issue number1
StatePublished - Jan 2009


  • Breast augmentation
  • Breast augmentation outcomes
  • Breast implants
  • Capsular contracture

ASJC Scopus subject areas

  • Surgery


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