Robert Whitfield MDAmerica's Breast Implant Illness Expert™

Fibrosis Is More Than Too Much Scar

13 Sept 2026 · 1 min

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Dr. Robert Whitfield explains that fibrosis is not just scar tissue but a dynamic process involving immune cells, fibroblasts, blood vessels, and mechanical forces working together. The fibrotic capsule around implants evolves over time, and what surgeons remove may be either the initial trigger or an adaptive response. Capsular contracture is a problem he sees multiple times each week.

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Fibrosis is not simply just too much scar. It can involve communication among immune cells, fibroblasts, blood vessels, extracellular matrix, mechanical forces, and tissue injury signals. A capsule can change over time too. I see a capsular contracture in my clinic multiple times a week typically. The biology present when tissue is removed, it may represent, you know, how things were initiated, or adaptation, and the results of which can be immature contracture.