Capsular contracture after breast implants
The most common complication after breast augmentation – what it means, how it is treated and why only beautyprotect insures it in full.
This is a translation for convenience. The German version and the insurers' policy terms prevail.
What is capsular contracture?
Capsular contracture (Kapselfibrose, also known as capsular hardening) is the most common long-term complication after a breast augmentation with implants. It occurs when the body's own scar tissue, which naturally forms around every implant, thickens and hardens excessively.
The human body reacts to any foreign material by forming what is known as a capsule of connective tissue. In most cases this capsule is thin and unproblematic. With capsular contracture, however, the tissue becomes hard, contracts and presses on the implant – which can lead to pain, changes in shape and, in severe cases, rupture.
Causes and risk factors
The exact cause has not yet been fully researched, but the following factors increase the risk:
- Infections: Even minor bacterial contamination when the implant is inserted
- Haematomas: Accumulations of blood in the surgical area encourage scarring
- Implant position: Implants placed in front of the muscle carry a higher risk
- Implant surface: Smooth implants show somewhat higher rates of capsular contracture
- Radiotherapy: Women who have had radiotherapy of the breast are at markedly increased risk
- Genetic predisposition: A tendency towards excessive scar formation can be inherited
The Baker classification (grades I–IV)
Physicians divide capsular contracture into four degrees of severity:
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Treatment and costs
From grade III onwards, surgical treatment is generally required. There are essentially two procedures:
Capsule release (capsulotomy)
The hardened capsule is surgically divided or widened. This is a minor procedure carried out on an outpatient basis or with a short hospital stay. Cost: EUR 1,500–4,000.
Capsule removal + implant exchange (capsulectomy)
In the case of severe capsular contracture, the entire capsule is removed and the implant is replaced. This is the most complex procedure, requiring a general anaesthetic and several days in hospital. Cost: EUR 4,000–10,000 and more.
Important: Statutory health insurance (GKV) does not assume these costs, because the original procedure (breast augmentation) was aesthetic and not medically necessary. Without complication insurance (Folgekostenversicherung), patients bear all the costs themselves.
Who pays in the event of capsular contracture?
This is where comparing the providers on capsular contracture becomes decisive:
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Frequently asked questions about capsular contracture
How often does capsular contracture occur?
According to estimates, between 5 and 30 % of all women with breast implants develop capsular contracture over time. The risk increases with the age of the implants. After 10 years, up to 20 % of patients have capsular contracture requiring treatment (Baker grade III/IV).
Can capsular contracture be prevented?
It cannot be avoided entirely, but the risk can be reduced: sterile surgical technique, avoidance of haematomas, prophylactic antibiotics where appropriate and regular follow-up checks. Some studies show that textured implants can slightly reduce the risk.
Can I still take out cover if I already have implants?
Yes! beautyprotect also insures past treatments – so even if you already have implants. Cover applies from the start of the policy for future complications.
What does beautyprotect cost per month?
beautyprotect offers three tariffs: LITE from EUR 11.90 per month, PRO and VIP with extended cover. The initial term is 12 months, after which the policy can be cancelled monthly. No deductible.