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Semin Plast Surg 2021; 35(03): 189-197
DOI: 10.1055/s-0041-1731793
Review Article

Current Concepts in Capsular Contracture: Pathophysiology, Prevention, and Management

Tyler Safran
1   Division of Plastic Surgery, McGill University, Montreal, Quebec, Canada
,
Hillary Nepon
2   Division of Experimental Surgery, McGill University, Montreal, Quebec, Canada
,
Carrie K. Chu
3   Department of Plastic Surgery, MD Anderson Cancer Center, Houston, Texas
,
Sebastian Winocour
4   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Amanda M. Murphy
1   Division of Plastic Surgery, McGill University, Montreal, Quebec, Canada
,
Peter G. Davison
1   Division of Plastic Surgery, McGill University, Montreal, Quebec, Canada
,
Tassos Dionisopolos
1   Division of Plastic Surgery, McGill University, Montreal, Quebec, Canada
,
Joshua Vorstenbosch
1   Division of Plastic Surgery, McGill University, Montreal, Quebec, Canada
› Author Affiliations
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Abstract

Over 400,000 women in the United States alone will have breast implant surgery each year. Although capsular contracture represents the most common complication of breast implant surgery, surgeons continue to debate the precise etiology. General agreement exists concerning the inflammatory origin of capsular fibrosis, but the inciting events triggering the inflammatory cascade appear to be multifactorial, making it difficult to predict why one patient may develop capsular contracture while another will not. Accordingly, researchers have explored many different surgical, biomaterial, and medical therapies to address these multiple factors in an attempt to prevent and treat capsular contracture. In the current paper, we aim to inform the reader on the most up-to-date understanding of the pathophysiology, prevention, and treatment of capsular contracture.

Keywords

capsular contracture - breast implant - foreign body reaction - inflammation


Publication History

Article published online:
13 July 2021

© 2021. Thieme. All rights reserved.

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