Capsular contracture is a common breast implant complication
that occurs when the natural fibrous tissue around your implants grows too thick
and squeezes them. This can make your breasts feel hard, appear asymmetrical,
and cause discomfort and pain. Capsular contracture is treated surgically to cut
open or remove the hardened capsule.
How capsular contracture surgery is performed
Capsular contracture surgery can be performed under local or
general anesthesia and is very similar to your original breast augmentation
surgery. There are two surgical treatments for capsular contracture:
involves your surgeon scoring the capsule to open it up and relieve the
pressure on your implant. Your surgeon will make incisions in your breasts, (usually
reusing existing scars), remove your implant, and make cuts in the capsule.
Your surgeon will then put your implant back in, or replace it with a new one.
A capsulectomy is
performed in a similar way, but the capsule is completely removed. Capsulectomy
is associated with a lower recurrence rate compared to capsulotomy, but
requires more cutting in your breast tissue.
Replacing your implants with new ones and changing how your
implants are placed in your breast tissue may reduce your risk of developing
capsular contracture again.
Recovery after capsular contracture will be similar to your
original breast augmentation surgery. Most women can return to work after one
to two weeks. You’ll have some pain, swelling and bruising, but this should
subside after a few days. You’ll have to avoid strenuous activity for about one
The costs of capsular contracture surgery vary depending on the
extent of your surgery, the costs of any new implants used, and surgery and
anesthesia fees. Your surgeon and health insurance provider can help clarify