10 things you should know about capsular contracture
Capsular contracture is the most common complication after breast implants. Here are the 10 most important facts – from the causes through to insurance cover.
This is a translation for convenience. The German version and the insurers' policy terms prevail.
What is capsular contracture?
Capsular contracture (Kapselfibrose) is a reaction of the body to the breast implant. The body forms a natural protective layer of connective tissue around every foreign material – what is known as the capsule. With capsular contracture this capsule hardens and thickens, which can lead to pain and changes in shape.
10 important facts about capsular contracture
- Frequency: Approx. 5–30 % of all breast implant patients develop capsular contracture requiring treatment.
- Timing: It can occur at any time – shortly after the operation or only after years.
- Classification: Four degrees of severity (Baker grades I–IV).
- Treatment: Grades III and IV usually require surgical procedures (capsulotomy or capsulectomy).
- Costs: EUR 1,500–10,000 depending on the degree of severity and the procedure.
- Health insurer: Does not pay, because the breast augmentation was not medically necessary.
- Implants do not always have to be removed: With grades I and II no treatment is required.
- Insurance: Only beautyprotect covers capsular contracture in full.
- Prevention: Cannot be avoided entirely, but can be minimised through good surgery.
- Prophylaxis: Regular check-ups every 1–2 years are recommended.