After breast augmentation the layer of scar tissue that develops around the implant can contract and create an abnormal shape and appearance. This is uncommon with newer implants but can still occur. About 10% of people may develop some noticeable capsule formation but for most of them it is not a significant problem. However in 1-2% of people the capsule becomes very hard and interferes with their enjoyment of the results. Some surgeons believe that steroids inside, or around, a saline implant may reduce capsule contraction.
Treatment often begins with non-surgical methods such as vitamin E, massage and pressure. In many people this is successful but a small group continue to have discomfort and problems. In these patients three options exist.
First, the capsule can be surgically released so that it re-forms slightly larger.
Second, the implant can be replaced with a smaller implant so that the space around the implant is larger.
Finally, if the problem persist a decision should be made about removing the implant. Multiple operation are rarely successful and in the end often produce a poor cosmetic result without solving the problem.
Because the cause of capsular contracture is not known there is no method to prevent their development or guarantee that they will not return.