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Capsular Contracture
A tightening of the tissue capsule surrounding an implant, resulting in firmness or hardening of the breast and in squeezing of the implant if severe. Capsular contracture is classified by Baker Grades. Grades III or IV are the most severe. Grade III often results in the need for additional surgery (reoperation) because of pain and possible abnormal appearance. Grade IV usually results in the need for additional surgery (reoperation) because of pain and unacceptable appearance. Capsular contracture II may also result in the need for additional surgery. Capsular contracture is a risk for implant rupture. Below is a description of each Baker Grade.
- Baker Grade I - Normally soft and natural appearance.
- Baker Grade II - A little firm, but breast looks normal.
- Baker Grade III - More firm than normal, and looks abnormal (change in shape).
- Baker Grade IV - Hard, obvious distortion, and tenderness with pain.
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