Capsular contracture surgery is common in patients who have had breast implants in for a long period of time. While implants can last several years without having the need for revision, when implants have been in for over 20 years or more, the lining that the body produces around the mammary prosthesis can begin to contract.
When the lining contracts, the surface area around the implant continues to decrease. As the surface area decreases, the volume around the implant remains fixed. This causes the implant and lining construct to become hard. As the lining contracts, the implant tends to move superiorly where there is less resistance. Correction of this involves removing both the implant and the lining around the implant and the placement of new implants.