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Non-cosmetic clinical indications for the use of breast implants are for breast reconstruction, sex reassignment surgery, and for abnormalities, usually congenital, that affect the shape and size of the breast.Capsules of tightly-woven collagen fibers form as an immune response around a foreign body like breast implants, which tends to wall it off; capsular contracture happens when the capsule tightens and squeezes the implant. Dr. and Canada, and are widely used in other countries.