Capsular contracture occurs when the lining around a breast implant contracts aggressively. When capsules are not removed in their entirety on the anterior surface of the breast, then the breast can not expand or splay out over the new implant in its entirety.
Occasionally, in the re-operative or revision breast surgery patient implants can become infected and need to be removed for several months while the infection completely resolves.
In these patients, I find that optimal results are achieved when the capsule remnants are removed completely prior to the placement of new implants. Strattice can then be used to line the breast implant pocket. When Strattice is used to line the breast implant pocket, the inframammary fold can be set, malposition can be adjusted, and in the thin patient rippling can be improved by the addition of another layer. See the before and after image above of the elite athlete.