This is certainly a possibility, though you could also have other musculoskeletal reasons for pain with exertion. If there is visible change in shape and distortion of the appearance, capsular contracture could be an explanation, but it is hard to really assess without in-person examination.

Published on Jul 11, 2012

Best to have an examination. It's difficult for online consultants to give accurate advice.

Tom Pousti MD
www.PoustiPlasticSurgery.com

Published on Jul 11, 2012

Thank you for your question.

I am sorry to hear about the recent discomfort that you are experiencing and I encourage you (if you have not done so already) to follow up with a local board-certified plastic surgeon for an in-person evaluation. Patients are encouraged to replace saline breast implants every 8-10 years (they are not lifetime devices) and considering that you have had your implants for 13 years, I recommend getting an exam to determine what's causing your discomfort and to assess the current "health" of your saline breast implants. It is possible that the discomfort is related to your implants, but it is also possible that it is related to some muscular strain as a result of activity or use.

Please follow up with a board-certified plastic surgeon for evaluation.

Published on Jul 11, 2012

Unfortunately, it is impossible to tell what is going on without a physical examination. I would recommend an evaluation by either your plastic surgeon or primary doctor, along with having an MRI or ultrasound to check the integrity of the implants.

Published on Jul 11, 2012

Without an exam or photos, it is difficult to offer any reliable advice. Contracture can feel like tightening or discomfort, however, this process is progressive, not sudden. It typically begins with a slight hardening which is palpable and progresses to being visible. The final stage of a contracture becomes uncomfortable.

I would recommend a consultation with a board-certified plastic surgeon (ABPS) to rule out more serious concerns.

Published on Jul 11, 2012