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Does being prone to keloids increase my risk for capsular contracture after a breast augmentation?

In our East Bay practice, we perform many breast augmentations on patients with varying health histories. We have seen no increase in capsular contracture (scar tissue around the implants) based on tendency to form keloids. In addition, keloid or hypertrophic scarring is unusual (but not unheard of) in the traditional breast augmentation incision patterns.

Clinical Context

Keloids form in the skin, where fibroblasts overproduce collagen and the scar spreads beyond the original cut. Capsular contracture is different — it's the body's normal scar-tissue response around any breast implant, which can sometimes thicken and tighten over time. The main drivers of contracture are thought to be factors inside the implant pocket, such as bacterial contamination, bleeding, or implant surface, rather than a person's general tendency to scar.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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