Capsular Contracture

Capsular contracture is a complication associated with breast implant surgery that occurs when scar tissue forms around the implant and tightens. ⁽¹⁾

This condition is one of the most common complications associated with breast implants. This condition can make the breast feel hard or firm, may cause discomfort, and can alter the aesthetic appearance of the breasts.

If you have recently undergone breast augmentation and are experiencing these unpleasant symptoms, there are treatment options available to help you look and feel your best. When seeking corrective treatments for capsular contracture, it is vital to seek treatment from trusted professionals. Austin Plastic Surgeon is one of the leading cosmetic practices in Texas, having helped countless patients treat their capsular contractures. With three convenient locations available, anyone looking to address their capsular contracture issues should contact Austin Plastic Surgeon today.

To schedule an appointment at our Austin, San Antonio, or West Lake Hills locations, please fill out our contact form or give us a call.

About Capsular Contracture Treatment

A capsular contracture treatment is focused on addressing a condition that can occur in people who have undergone breast augmentation or reconstruction with implants. Capsular contraction involves the formation of fibrous scar tissue, known as a capsule, around one or both breast implants. For many patients, this process is natural and harmless. However, in some instances, the capsule thickens and tightens excessively, leading to discomfort and changes in the shape and position of the implants. This tightening can even lead to deformity of the breasts, causing emotional distress and discomfort for those affected.

Breast augmentation procedures are very common. While capsular contracture does not happen to every patient, it remains one of the primary complications encountered by individuals with breast implants, making it vital that patients seek proper treatment. ⁽²⁾ Factors influencing this condition may include the type of implants used (silicone vs saline), surgical techniques, individual healing biology, and infection post-surgery.

Treatment aims to alleviate discomfort and restore the aesthetically pleasing contours desired following breast augmentation. Various strategies can be employed, including surgically removing the capsule, implant exchange, or the placement of a new tissue expander. We encourage anyone affected by capsular contracture to consider exploring the various treatment options available to them at Austin Plastic Surgeon.

Benefits

Undergoing capsular contracture treatment offers multiple advantages, enhancing both comfort and self-confidence. Here are some of the commonly reported benefits:

There are plenty of potential benefits associated with addressing capsular contracture. To get started on your journey toward experiencing these benefits for yourself, schedule a personal consultation at our Austin, San Antonio, or West Lake Hills locations by filling out our contact form or giving us a call.

Ideal Candidates

Ideal candidates for capsular contracture treatment are individuals who have previously undergone breast augmentation with implants and are now facing discomfort or visual issues related to capsular contracture. Candidates typically present with symptoms such as:

It can be challenging for patients to know whether their issue is capsular contracture, an implant malposition, or something else. When it is early in the process, some medications can help treat capsular contracture before surgery is necessary. There are four grades of capsular contracture. With Baker Grade I, the breast still looks normal or appears normal and feels soft. Grade II feels more firm, and Grade III shows changes in the shape of the breast. Grade IV results in firm and painful breasts.

When a person has a Baker Grade I or II, oftentimes treatment is not necessary. However, we will monitor the situation. If a capsule shifts the implant or becomes painful, our team will treat the issue.

Patients should be in good overall health to qualify for the procedure and must maintain realistic expectations regarding the outcomes. During your initial consultation, a staff member will assess your specific condition and establish a customized treatment plan suited to your unique needs.

Personal Consultation

To ensure the best possible treatment for your capsular contracture, personal consultation with our staff is the best place to begin. At Austin Plastic Surgeon, patients receive a thorough evaluation that considers medical history, existing scars, implant characteristics, and lifestyle factors. A surgeon will carefully examine the area around the implants and discuss aesthetic goals to develop a personalized treatment plan. This comprehensive meeting allows for clear recommendations on the most appropriate procedure. During the consultation, patients are encouraged to ask questions and express any concerns about the treatment process. Schedule your consultation online to begin planning your treatment, or call any of our locations directly with any further questions.

Preparation

After you schedule your procedure date, the Austin Plastic Surgeon staff will provide you with detailed preoperative instructions to ensure a smooth procedure. Common preparation steps may include discontinuing blood-thinning medications and supplements as instructed, ceasing nicotine use before surgery and throughout recovery (if applicable), arranging transportation home after the procedure, and taking time off work to facilitate a restful recovery. Following these guidelines will significantly contribute to achieving optimal results from capsular contracture treatment.

Procedure

In some less severe cases, capsular contracture can be treated with medication to reduce the inflammation of the scar tissue. If your provider determines this to be the most appropriate treatment option for you, they will prescribe the recommended medication and continue to monitor your progress from there.

The specific details of each capsular contracture procedure will vary based on the individual treatment plan. The process typically begins by administering anesthesia to ensure comfort. The surgeon carefully accesses the capsule surrounding the implant, performing a controlled incision to relieve tension. Alternatively, the surgeon can completely remove the scar tissue to address the issue. Most commonly, patients undergo surgery to remove the capsule and replace the breast implant. Depending on the severity and specific situation, our team may implement a structural support internal bra mesh that can decrease the risk of future capsular contractures.

After making the necessary adjustments, they will close the inclusions using precise techniques to minimize scarring.

Recovery

Recovery from capsular contracture treatment requires patience as healing times vary. Mild swelling and bruising are common initially but usually subside within the first few weeks. Some discomfort is expected after surgery but can generally be managed with prescribed pain medication. Light activities may be resumed within a few days, while strenuous exercises should be avoided until cleared by a surgeon. Patients are encouraged to schedule regular follow-up appointments to monitor progress, assess their range of motion, and check for any signs of infection to ensure proper healing.

Results

Most patients begin to notice improvements in comfort and aesthetics shortly after undergoing capsular contracture treatment. The new breast contours become more apparent as swelling diminishes and scars heal. Over time, results often continue to improve, and many patients express a renewed sense of confidence in their bodies. Austin Plastic Surgeon pays careful attention to detail to minimize scarring as much as possible to ensure natural-looking results.

Cost of Capsular Contracture Treatment in Texas

The cost of capsular contracture treatment varies based on individual needs, surgical complexities, and the extent of the procedure. A detailed cost estimate will be given to you during your personal consultation. To gather a rough estimate of what your treatment might cost, you can explore our pricing page.

Frequently Asked Questions

What causes capsular contracture?

Capsular contracture is primarily caused by the body’s response to breast implants, where scar tissue forms around the implant. This can be exacerbated by infections, hematomas, or surgical techniques.

How long is recovery from capsular contracture treatment?

Recovery profiles differ; however, most patients resume regular activities within a few weeks and enjoy stable results within several months.

Is capsular contracture treatment painful?

Patients commonly report discomfort rather than intense pain. Adequate pain management protocols are established to enhance comfort during the recovery phase.

Will I need to replace my implants?

In many cases, implant replacement may enhance results, especially if the current implants have been compromised due to capsular contracture.

What are the chances of capsular contracture recurring?

Recurrence rates can vary, as numerous factors play a role. Patients can mitigate risks by adhering to proper postoperative care and follow-up recommendations.

References

1. Safran T, Nepon H, Chu CK, et al. Current Concepts in Capsular Contracture: Pathophysiology, Prevention, and Management. 2021;35(03):189-197. doi:https://doi.org/10.1055/s-0041-1731793
2. Wells HJ, Yang JCC, Edelstein-Keshet L, Isaac KV. Implant Texture and Capsular Contracture: A Review of Cellular and Molecular Pathways. Plastic and Reconstructive Surgery – Global Open. 2024;12(5):e5802. doi:https://doi.org/10.1097/gox.0000000000005802