Dr. Robert Whitfield explains capsular contracture, where the fibrous tissue around a breast implant tightens abnormally, causing discomfort and shape changes. The causes aren't fully understood but involve surgical factors, implant type, inflammation, and host biology. It's complex enough that no single cause explains it.
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Capsular contracture is different. In a capsular contracture, the capsule becomes abnormally tight, firm, or distorted, and some patients may experience discomfort. Not always, and they may experience changes in the breast shape. Implant can change in its position relative to the nipple complex, and you can get, like I said, increasing firmness. And severity varies, and the reasons one person develops contracture while another are not completely fully understood. Researchers have studied many possible contributors, including surgical factors like bleeding, inflammation around the device, implant characteristics, other mechanical forces, the host biology, and microbial factors. Those categories are actually overlapping, many of them, and the importance of each one may differ from patient to patient. This is important because a complicated condition should not be forced into a single kind of cause and effect story.