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What is a breast capsule

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Normally, as part of the healing process, scar tissue is placed around the implants resulting in a soft cocoon. When the scarring is normal it is classified as a Class I contracture Normal. As the scarring becomes more excessive it can progress from only felt but not seen Class II capsular contracture , to being felt AND seen Class III capsular contracture — which sounds like what you have , to felt, seen and uncomfortable or painful breasts Class IV contracture. A board certified plastic surgeon can easily detect and determine if you have capsular contracture just from feeling the implants and from the shape of the breasts.
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Breast capsulectomy surgery

What is a breast capsule
What is a breast capsule
What is a breast capsule
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What to Expect After Breast Reconstruction Surgery

Sometimes, no matter how skilled a patient's plastic surgeon is, complications arise during or after surgery. This is the case because everyone's body is different. The composition of connective tissue varies widely from one patient to another, for instance, and this means that each patient's healing process is entirely unique. This is why some people tend to develop thick scar tissue after any kind of penetrating skin injury, while others can sustain deep cuts and develop only subtle scarring that fades over time. Another good example of this difference is the way some women will develop severe stretch marks during pregnancy no matter what they do to prevent them, whereas other women emerge from pregnancy nearly stretch mark-free.
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What is a Capsular Contracture?

Capsular contracture is the term used to describe scar tissue that can form around breast implants which may cause the breasts to harden, may cause the breasts to look or feel different, and may cause some discomfort from the tightening of the capsule. Capsular contracture is an unpredictable complication, but it is also the most common complication following breast augmentation. Although presently we do not know what causes a capsular contracture to form in one woman and not in another, or why one breast may harden while the other remains completely soft and natural, there are some techniques that have reduced the risk in our patients. This specimen photo shows the intact capsule containing the breast implant immediately after removal from the breast a complete capsulectomy.
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Scar tissue forms around all nonabsorbable implanted materials in our bodies, as a natural part of healing. But scar tissue becomes troublesome when it tightens around an implant. As the capsule tightens, a flexible soft natural shaped implant can become a firm round ball and changes the shape of the breast. The capsule often becomes adherent to surrounding skin, breast tissue, muscle, or chest wall and can cause discomfort or pain with exercise, sexual activity, and normal everyday living.
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