The various etiological factors of "hard capsule" formation in breast augmentations.

The use of Silastic implants in breast augmentation has been one of the greatest advances in aesthetic plastic surgery during the past 20 years. This article deals specifically with one of the most important complications, namely, the formation of the "hard capsule" surrounding the prosthesis. The specific use of a saline-filled Silastic prosthesis with the intra-luminal use of methylprednisolone acetate suspension is discussed, based on experience with 133 patients. Illustrative case histories and photos are shown. The etiology, prevention, and/or total definitive treatment is explained and the conclusion reached is that this management leads to permanent, satisfactory results.