Progressive hardening in the mid to late post-op period is the hallmark of capsular contracture. This occurs when the capsule or scar, which normally develops around the implants, thickens and tightens. At first, this causes a palpable change. Over time, however, the change becomes visible and can, in some cases, become painful.

In the event of capsular contracture, the capsule will need to be removed in its entirety and the implant replaced. This typically solves the problem, though you will be at elevated risk for recurrence.

As always, discuss your concerns with a board-certified plastic surgeon (ABPS).

Published on Jul 11, 2012

You need to be seen, there are many conditions from simple cysts to early capsule formation that could cause your symptoms. The diagnosis will require a physical exam by your surgeon.

Published on Jul 11, 2012

It does sound like it might be capsular contracture. Unfortunately, this can happen at any point postoperatively. It's good that you are very aware of the changes in your body, and the best thing to do is to immediately see your surgeon for an exam. Something like this, 9 months postop, is not typical and you should see more than just the nurse. Best of luck!

Published on Jul 11, 2012

You should see your physician to advise you after an exam.

Published on Jul 11, 2012

Its hard to say without an exam; it could be a capsule. I would suggest trying to see your surgeon sooner for an exam.

Published on Jul 11, 2012

There's no rush. Be patient, and go to your next appointment to be examined.

Published on Jul 11, 2012

Thank you for asking. This may be related to surgery or related to your breast tissue. In either case, you should be seen by a board-certified PS who can decide what to do next. Best wishes!

Published on Jul 11, 2012

Based on your description, it is difficult to tell if this is capsular contracture. I highly recommend calling your plastic surgeon to schedule an appointment to be examined in person.

Published on Jul 11, 2012