{"id":7953,"date":"2024-12-19T13:51:14","date_gmt":"2024-12-19T13:51:14","guid":{"rendered":"https:\/\/kliniekhetbolwerk.nl\/?post_type=kennisbank&#038;p=7953"},"modified":"2025-07-20T12:37:38","modified_gmt":"2025-07-20T12:37:38","slug":"capsular-contracture","status":"publish","type":"kennisbank","link":"https:\/\/kliniekhetbolwerk.nl\/en\/kennisbank\/capsular-contracture\/","title":{"rendered":"Capsular Contracture"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">How Does Capsular Contracture Develop?<\/h2>\n\n\n\n<p>After breast implant surgery, the body naturally forms a thin layer of scar tissue around the implant as a response to a foreign object. In some cases, this capsule can thicken and tighten, leading to capsular contracture.<\/p>\n\n\n\n<p>Possible causes include:<\/p>\n\n\n\n<p><strong>Infection:<\/strong> Even subtle or unnoticed infections can lead to excessive scar tissue formation.<br><strong>Hematomas or seromas:<\/strong> Accumulated blood or fluid around the implant may increase the risk.<br><strong>Immune response:<\/strong> The body may react strongly to the implant.<br><strong>Implant quality:<\/strong> Lower-quality implants or those with a rough surface may carry a higher risk.<br><strong>Implant placement:<\/strong> Implants placed above the chest muscle may have a slightly higher risk.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Symptoms of Capsular Contracture<\/h2>\n\n\n\n<p>Symptoms vary in severity and are often classified using the Baker grading system:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Grade I:<\/strong> The breast feels soft and looks natural.<\/li>\n\n\n\n<li><strong>Grade II:<\/strong> The breast feels slightly firm but appears normal.<\/li>\n\n\n\n<li><strong>Grade III:<\/strong> The breast is firm, visibly distorted, and may show asymmetry.<\/li>\n\n\n\n<li><strong>Grade IV:<\/strong> The breast is hard, misshapen, and painful.<\/li>\n<\/ul>\n\n\n\n<p>Many patients notice only subtle changes in the early stages, such as increased firmness or mild sensitivity. Advanced cases may involve pain, discomfort, and visible changes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Diagnosis of Capsular Contracture<\/h2>\n\n\n\n<p>A doctor can often diagnose capsular contracture through a physical examination and the patient\u2019s medical history. In some cases, additional imaging such as ultrasound or MRI may be used to assess the severity and rule out other issues.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Treatment of Capsular Contracture<\/h2>\n\n\n\n<p>Treatment depends on the severity and impact on the patient. Options include:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Non-Surgical Treatments<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Massage and compression:<\/strong> In mild cases, the doctor may recommend regular breast massage.<\/li>\n\n\n\n<li><strong>Medication:<\/strong> Leukotriene inhibitors (e.g., Singulair) may help soften scar tissue, though results are limited.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Surgical Treatments<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Capsulotomy:<\/strong> The surgeon makes incisions in the capsule to allow the implant more space. The capsule remains in place.<\/li>\n\n\n\n<li><strong>Capsulectomy:<\/strong> The entire capsule is surgically removed, often combined with implant replacement.<\/li>\n\n\n\n<li><strong>Implant removal:<\/strong> In some cases, especially with recurring contractures, patients may opt to have the implants removed completely.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Prevention of Capsular Contracture<\/h2>\n\n\n\n<p>While capsular contracture cannot always be prevented, certain steps may reduce the risk:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Use of antibacterial protocols:<\/strong> Reducing infection risk during surgery is essential.<\/li>\n\n\n\n<li><strong>Submuscular placement:<\/strong> Placing the implant under the muscle appears to lower risk.<\/li>\n\n\n\n<li><strong>High-quality implants:<\/strong> Smooth or specifically textured implants may carry lower risk.<\/li>\n\n\n\n<li><strong>Minimal manipulation:<\/strong> Avoiding excessive movement or pressure on the implants during early recovery helps reduce risk.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Prognosis<\/h2>\n\n\n\n<p>Most cases of capsular contracture can be successfully treated, especially when detected early. Regular follow-ups after breast implant surgery are important, and any changes in the breast should be reported to a doctor immediately.<\/p>\n\n\n\n<p>With a well-performed corrective procedure, most patients recover fully and enjoy long-lasting results\u2014though the risk of recurrence cannot be entirely ruled out.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false},"kennisbank-categorie":[47],"class_list":["post-7953","kennisbank","type-kennisbank","status-publish","hentry","kennisbank-categorie-breast-procedures"],"acf":[],"_links":{"self":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/kennisbank\/7953","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/kennisbank"}],"about":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/types\/kennisbank"}],"version-history":[{"count":1,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/kennisbank\/7953\/revisions"}],"predecessor-version":[{"id":7955,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/kennisbank\/7953\/revisions\/7955"}],"wp:attachment":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/media?parent=7953"}],"wp:term":[{"taxonomy":"kennisbank-categorie","embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/kennisbank-categorie?post=7953"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}