The theory of natural capsular contraction around breast implants and how to prevent it.

Many articles have described various causes of capsular contraction around breast implants. However, even when these causes are not present, an implanted breast that is soft postoperatively may still become firm later. Such cases can be explained by the theory of natural capsular contracture, based on the observation that the human body will obliterate cavities anywhere within it unless an obturator is present to prevent it. The speed of contraction is described in this paper by presentation of clinical cases. To maintain an adequate cavity at the breast implant site, we have designed a series of exercises, using the implant as the obturator, which have markedly reduced the incidence of firm breasts.