A Case Report of Capsular Contracture Immediately Following COVID-19 Vaccination

AbstractCapsular contracture is fundamentally an immunological/inflammatory response to the implant, treating it as a foreign body in need of exclusion from the immune system. The capsule surrounding the implant is populated by a rich variety of immunologically active cells such as m...

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Main Author: Richard J Restifo
Format: Article
Language:English
Published: Oxford University Press 2021-05-01
Series:Aesthetic Surgery Journal Open Forum
Online Access:https://academic.oup.com/asjopenforum/article-lookup/doi/10.1093/asjof/ojab021
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author Richard J Restifo
author_facet Richard J Restifo
author_sort Richard J Restifo
collection DOAJ
description AbstractCapsular contracture is fundamentally an immunological/inflammatory response to the implant, treating it as a foreign body in need of exclusion from the immune system. The capsule surrounding the implant is populated by a rich variety of immunologically active cells such as macrophages, T lymphocytes, and myofibroblasts. Vaccination in general and the COVID-19 vaccine in particular result in specific and nonspecific activation of the immune system, including those immune cells in proximity to the implant. This phenomenon has been previously demonstrated in delayed inflammatory reactions to previously implanted hyaluronic acid fillers following COVID-19 vaccination. This report is what is believed to be the first case of the rapid development of severe ipsilateral capsular contracture in the immediate aftermath of the second dose of the BNT162b2 (Pfizer) vaccine.
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spelling doaj.art-bccbef78d1a5431495f92081de1f493a2022-12-21T23:19:25ZengOxford University PressAesthetic Surgery Journal Open Forum2631-47972021-05-013310.1093/asjof/ojab021A Case Report of Capsular Contracture Immediately Following COVID-19 VaccinationRichard J Restifo AbstractCapsular contracture is fundamentally an immunological/inflammatory response to the implant, treating it as a foreign body in need of exclusion from the immune system. The capsule surrounding the implant is populated by a rich variety of immunologically active cells such as macrophages, T lymphocytes, and myofibroblasts. Vaccination in general and the COVID-19 vaccine in particular result in specific and nonspecific activation of the immune system, including those immune cells in proximity to the implant. This phenomenon has been previously demonstrated in delayed inflammatory reactions to previously implanted hyaluronic acid fillers following COVID-19 vaccination. This report is what is believed to be the first case of the rapid development of severe ipsilateral capsular contracture in the immediate aftermath of the second dose of the BNT162b2 (Pfizer) vaccine.https://academic.oup.com/asjopenforum/article-lookup/doi/10.1093/asjof/ojab021
spellingShingle Richard J Restifo
A Case Report of Capsular Contracture Immediately Following COVID-19 Vaccination
Aesthetic Surgery Journal Open Forum
title A Case Report of Capsular Contracture Immediately Following COVID-19 Vaccination
title_full A Case Report of Capsular Contracture Immediately Following COVID-19 Vaccination
title_fullStr A Case Report of Capsular Contracture Immediately Following COVID-19 Vaccination
title_full_unstemmed A Case Report of Capsular Contracture Immediately Following COVID-19 Vaccination
title_short A Case Report of Capsular Contracture Immediately Following COVID-19 Vaccination
title_sort case report of capsular contracture immediately following covid 19 vaccination
url https://academic.oup.com/asjopenforum/article-lookup/doi/10.1093/asjof/ojab021
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