If the augmented breast is traumatized the capsule can tear and bleed. The resultant blood collection can attract native breast bacteria and the resultant mixture of blood proteins with microbial debris can form a biofilm which then can trigger a CC.
2. Early massage
Previously surgeons recommended to vigorously push the implant around the fresh implant pocked very early in the recovery. We no longer suggest you do this as the vigorous pressure may push native bacteria into your implant pocket and start a biofilm which results in a CC
3. Pregnancy and Breast feeding
This also makes your breast biologically very active and can result in high bacteria counts in your tissues. CC can follow repeated lactation.
4. Old ruptured implants
The most common reason for severe CC are decades old ruptured implants. We sometimes see 30 year old implants that are no longer intact. The oily residue can also activate the fibroblasts responsible for CC
5. Direct contact of breast tissue to the implant.
The more direct exposure the higher the rate of CC. Below the gland (Sub-Glandular) has the highest rate as 100% of the implant is in direct contact. Dual plane is a close second, yet Sub-muscular still has a 50% exposure rate but it has a reduced CC rate. Sub-facial with 100% coverage has no direct contact to the breast and has the lowest CC rate.