Capsular contracture is a common complication of breast augmentation surgery, where scar tissue forms tightly around implants, causing them to feel firm and sometimes painful. This occurs naturally as the body reacts to any implanted object. Severity varies and is graded on the Baker scale from soft (Baker I) to very firm and distorted (Baker IV). Both saline and silicone implants can be affected, though placement beneath the chest muscle reduces risk. Textured implants, once thought to lower risks, are now approached cautiously due to rare associated risks.
A double-bubble deformity occurs when the breast implant is positioned too high, causing the skin to drape unnaturally over the implant. This creates a visible indentation or double fold on the breast, resulting in an uneven and unnatural appearance. This condition can arise from various factors, including improper surgical technique, anatomical considerations, or postoperative complications. Correction techniques depend on the severity of the deformity and the amount of skin laxity.