Which option best identifies the implants with greater risk of capsular contracture?

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Capsular contracture happens when the fibrous capsule around an implant thickens and tightens, making the breast feel firm or distorted. The implant fill material influences how the surrounding tissue reacts. Silicone gel implants have a greater tendency to stimulate a fibrotic capsule than saline-filled implants, so they carry a higher risk of contracture. Saline implants are filled after placement, and if rupture occurs, deflation is noticeable and easier to manage, with a comparatively less aggressive capsule forming. Autologous tissue isn’t an implant, and hydrogel implants are less common today. So the implants with the greater risk are the silicone gel ones.