Published in

The Royal Society, Journal of the Royal Society. Interface, 111(12), p. 20150343, 2015

DOI: 10.1098/rsif.2015.0343

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Morpho-elasticity of inflammatory fibrosis: the case of capsular contracture

Journal article published in 2015 by Martine Ben Amar, Martine Ben Amar, Min Wu, Miguel Trejo, Michael Atlan
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Inflammatory fibrosis is a wound-healing reaction of the immune system in mammals against aggression. After a signalling cascade, fibroblasts and potentially myofibroblasts make a stiff collagenous tissue inside the body that modifies the original healthy tissue. We focus here on the implant-induced fibrosis that aims to encapsulate the implant with a typical fibrous tissue called the capsule. Focusing on breast capsules, we aim to understand the mechanical properties of these tissues, to test the validity of fibre models that have been established in other contexts such as arteries. For this purpose, we perform force–extension experiments and show that mechanical constitutive laws of these tissues are especially difficult to derive, because models are sensitive to fibre orientation and dispersion, independently of the variation between individuals. In addition, fibre breakdown, and possibly remodelling, occur during the extension experiments. However, the high stiffness of the capsular tissue, compared with the healthy tissue, added to the fact that an inflammatory process has no reason to cease, is at the origin of large compressive stresses in vivo , which explains the pain and unaesthetic deformity. We evaluate the stresses responsible for the pain and the buckling instability, which have no reason to stop if the inflammation persists.