T85.44

Clinical Causes: Infection around the implant leading to inflammation Bleeding or hematoma formation post-surgery Seroma, which is fluid accumulation around the implant Repeated trauma or injury to the breast area Capsular bacteria or biofilms that promote inflammation Implant surface characteristics, such as textured or smooth surface Individual variations in immune response and healing Use of certain implant types or materials

Key Symptoms: Hardening or firmness in the breast area Pain or discomfort, especially when touching the breast Changes in the shape or position of the breast Visible or palpable firmness around the implant A feeling of tightness or constriction Possible appearance of rippling or uneven contour Reduced breast mobility or stiffness In some cases, swelling or tenderness

Diagnosis Path: Diagnosis of capsular contracture typically involves a combination of physical examination and medical history review. The healthcare provider may assess the firmness, shape, and symmetry of the breasts. Imaging tests such as ultrasound or MRI can help evaluate the condition of the implant and the surrounding tissue. In certain cases, surgical exploration may be necessary to confirm the presence and severity of capsular contracture, classified by grading scales like Baker when relevant.

Treatment Protocols: Treatment options vary depending on the severity of the contracture. Mild cases may only require observation and regular monitoring. When discomfort or significant aesthetic concerns are present, surgical intervention is often recommended. Common procedures include capsulotomy (cutting the capsule to relieve tension) or capsulectomy (removing the capsule entirely). In some situations, replacing the implant or performing additional reconstructive procedures may be advised. Postoperative care includes managing swelling, pain, and minimizing risk factors for recurrence.