What is the most common complication following breast augmentation?

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Capsular contracture is the most common complication after breast augmentation. When an implant is placed, the body naturally forms a fibrous capsule around it. If that capsule tightens and thickens, it squeezes the implant, making it feel firm, causing distortion of shape, and sometimes producing pain. This late-appearing hardening is why contracture is seen more often than infections, hematomas, or early seromas. The issue can develop months to years after surgery, which is why patients may notice changes well after the procedure. Management depends on severity: mild cases may be watched or treated nonoperatively, while more significant contracture often requires surgery to release the capsule or replace the implant, sometimes with repositioning.