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Capsular Contracture: Controversies in Etiology and Management

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Managing Common and Uncommon Complications of Aesthetic Breast Surgery

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Abstract

Capsular contracture is a one of the most common complications following cosmetic breast augmentation. In fact, it is frequently cited as the first or second most common reason for reoperation in these patients. Multiple potential theories exist with varying levels of supporting data, and it is widely accepted that the pathogenesis is multifactorial. The end results are excessive fibrosis, foreign body reaction, and distortion. The best treatment always begins with prevention. This includes both refinements in technique and surgical adjuncts to improve outcomes and minimize complications. Unfortunately, even after strict adherence to sterile, hemostatic, atraumatic techniques and the use of antimicrobial agents, patients are still at risk for the development of capsular contracture. There are numerous techniques discussed in the literature. These can broadly be divided into nonoperative techniques and operative techniques. This book chapter introduces the reader to etiologies and treatment strategies for capsular contracture following cosmetic breast augmentation.

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Author information

Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Johns Hopkins University, Baltimore, MD, USA

    Karan Chopra

  2. Cleft Palate and Craniofacial Clinics, University of Minnesota School of Dentistry, Burnsville, MN, USA

    Joseph M. Gryskiewicz

Authors
  1. Karan Chopra
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  2. Joseph M. Gryskiewicz
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Editor information

Editors and Affiliations

  1. Feinberg School of Medicine, Northwestern University, Chicago, IL, USA

    John Y.S. Kim

Electronic Supplementary Material

Demonstration of a right, firm, contracted breast. On the left, the breast exam demonstrates a soft, more natural appearing augmented breast (MOV 45777 kb)

Postoperative demonstration of resolution of clinical signs of capsular contracture on the right breast after exchange to dual plane position using a 380-cc smooth high-profile silicone implant (MP4 33641 kb)

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Chopra, K., Gryskiewicz, J.M. (2021). Capsular Contracture: Controversies in Etiology and Management. In: Kim, J.Y. (eds) Managing Common and Uncommon Complications of Aesthetic Breast Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-57121-4_6

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  • DOI: https://doi.org/10.1007/978-3-030-57121-4_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-57120-7

  • Online ISBN: 978-3-030-57121-4

  • eBook Packages: MedicineMedicine (R0)

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