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Capsular contracture (CC) is a common complication of breast augmentation that is thought to arise from bacterial contamination and subsequent biofilm formation on the implant. Endogenous breast flora expressed through the nipple may contaminate the sterile field during breast augmentation, acting as a possible source for initiation of biofilm formation.

Risk of Breast Implant Bacterial Contamination From Endogenous Breast Flora, Prevention With Nipple Shields, and Implications for Biofilm Formation