Am I experiencing a capsular contracture or am I just swollen?

My left breast has been really hurting, even when I sleep on my side. It hurts without a bra and is just annoying aching pain. If I press on any of the bottom part of my breast, it hurts. It even hurts to do any physical activity that causes it to move.

Answers from doctors (15)


More About Doctor Michelle Roughton, MD

Published on Jan 20, 2020

The answer to this will greatly depend on how far from surgery you are. Within the first 4 weeks, this would be expected post-surgical pain. If you are, say more than 6 months out from surgery and this is new pain, I would definitely see your surgeon again. It could be capsular contracture. Good luck!

Answered by Michelle Roughton, MD (View Profile)

The answer to this will greatly depend on how far from surgery you are. Within the first 4 weeks, this would be expected post-surgical pain. If you are, say more than 6 months out from surgery and this is new pain, I would definitely see your surgeon again. It could be capsular contracture. Good luck!

Published on Jul 11, 2012


ELLIOT B. DUBOYS, MD, FACS

Published on Jun 22, 2016

While pain is a symptom of contracture, it doesn't always happen. With capsular contracture, the breasts feels "HARD." You don't mention how far after surgery you are. If you are concerned, please consult with your plastic surgeon.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/8033_1461799827.jpg
Answered by ELLIOT B. DUBOYS, MD, FACS

While pain is a symptom of contracture, it doesn't always happen. With capsular contracture, the breasts feels "HARD." You don't mention how far after surgery you are. If you are concerned, please consult with your plastic surgeon.

Published on Jul 11, 2012


Barry J. Kaplan, D.O.

Published on Jun 03, 2016

How long ago was your surgery? Was it first time or replacement? Is it over or under the muscle? What was your starting size and size of the implant? Cannot answer without this information. In addition, it could be coming from your back due to rib subluxation.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/8050_1464367751.jpg
Answered by Barry J. Kaplan, D.O.

How long ago was your surgery? Was it first time or replacement? Is it over or under the muscle? What was your starting size and size of the implant? Cannot answer without this information. In addition, it could be coming from your back due to rib subluxation.

Published on Jul 11, 2012


Ralph M. Rosato, M.D., F.A.C.S.

Published on Apr 26, 2016

It could be a contracture, fluid build up (seroma or hematoma), or it could be an infection. Have your surgeon check you. An exam is required to determine the cause.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/7768_1456953332.jpg
Answered by Ralph M. Rosato, M.D., F.A.C.S.

It could be a contracture, fluid build up (seroma or hematoma), or it could be an infection. Have your surgeon check you. An exam is required to determine the cause.

Published on Jul 11, 2012


Mark E. Mason, MD, FACS

Published on Apr 18, 2016

How long has it been since surgery? I would definitely want my patient to contact me. I suggest having a follow-up appointment with your surgeon.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/7331_1500929148.jpg
Answered by Mark E. Mason, MD, FACS

How long has it been since surgery? I would definitely want my patient to contact me. I suggest having a follow-up appointment with your surgeon.

Published on Jul 11, 2012


Kenneth L. Stein M.D. FACS

Published on Mar 18, 2016

Call and make an appointment with your surgeon. It is important that you have a follow-up and exam to determine what is going on.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/7741_1455309146.jpg
Answered by Kenneth L. Stein M.D. FACS

Call and make an appointment with your surgeon. It is important that you have a follow-up and exam to determine what is going on.

Published on Jul 11, 2012


Jaime S. Schwartz, M.D., F.A.C.S.

Published on Jan 12, 2016

I appreciate your question.

Since there has been a change in your post-op course, please contact your surgeon so he/she can examine you and recommend the most appropriate treatment plan at this time.

The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!


//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/7198_1446066585.jpg
Answered by Jaime S. Schwartz, M.D., F.A.C.S.

I appreciate your question.

Since there has been a change in your post-op course, please contact your surgeon so he/she can examine you and recommend the most appropriate treatment plan at this time.

The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!


Published on Jul 11, 2012


Robert A. Shumway, MD, FACS

Published on Jan 06, 2016

You would need an examination to make sure if what you are experiencing is truly capsular contracture. Sometimes it can be manually manipulated to make the tissue softer.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/6709_1441323856.jpg
Answered by Robert A. Shumway, MD, FACS

You would need an examination to make sure if what you are experiencing is truly capsular contracture. Sometimes it can be manually manipulated to make the tissue softer.

Published on Jul 11, 2012


Stephen Greenberg, MD

Published on Jan 06, 2016

Thank you for your question. Without conducting a physical examination or much surgical history, and in the absence of photographs, it is difficult to say whether or not you have a capsular contracture. A capsular contracture is defined as a heightened immune response that causes the scar tissue or capsule that exists around a breast implant to grow substantially and constrict or tighten around the implant. This then causes a patient's implant to become hard, appear deformed, and can cause great discomfort for the patient. If you are concerned that you may have developed a capsular contracture, I would highly recommend following up with a board-certified plastic surgeon for an evaluation. I hope this helps.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/6191_1500921465.jpg
Answered by Stephen Greenberg, MD

Thank you for your question. Without conducting a physical examination or much surgical history, and in the absence of photographs, it is difficult to say whether or not you have a capsular contracture. A capsular contracture is defined as a heightened immune response that causes the scar tissue or capsule that exists around a breast implant to grow substantially and constrict or tighten around the implant. This then causes a patient's implant to become hard, appear deformed, and can cause great discomfort for the patient. If you are concerned that you may have developed a capsular contracture, I would highly recommend following up with a board-certified plastic surgeon for an evaluation. I hope this helps.

Published on Jul 11, 2012


Edward Domanskis M.D.

Published on Jan 06, 2016

Pain in a breast that has a breast implant can be due to these things: trauma to breast, capsular contracture, and hormonal influences on the breast. Pain can also be on just one side. If your breasts are hard, then it most likely is capsular contracture. It could also be infection, but then the breast would be hot and red.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/7193_1500928629.jpg
Answered by Edward Domanskis M.D.

Pain in a breast that has a breast implant can be due to these things: trauma to breast, capsular contracture, and hormonal influences on the breast. Pain can also be on just one side. If your breasts are hard, then it most likely is capsular contracture. It could also be infection, but then the breast would be hot and red.

Published on Jul 11, 2012


Gerald Minniti, M.D., F.A.C.S

Published on Jan 06, 2016

If you have pain or tenderness, you should be examined by your surgeon. No diagnosis can be made through this medium.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/6345_1431389523.jpg
Answered by Gerald Minniti, M.D., F.A.C.S

If you have pain or tenderness, you should be examined by your surgeon. No diagnosis can be made through this medium.

Published on Jul 11, 2012


More About Doctor Tom Pousti, M.D.

Published on Jan 06, 2016

If you are having discomfort, it will be in your best interest to be seen by your doctor for an examination. Online consultants will not be able to help you with accurate advice. Best wishes!

Answered by Tom Pousti, M.D. (View Profile)

If you are having discomfort, it will be in your best interest to be seen by your doctor for an examination. Online consultants will not be able to help you with accurate advice. Best wishes!

Published on Jul 11, 2012


David C. Yao MD, FACS

Published on Jan 06, 2016

Thank you for asking. The timing of your breast implant procedure is key. If recent, it may only be swelling that will resolve. If the implants were placed a while ago, it could be a capsule issue. See your plastic surgeon who can diagnose accurately and treat. Best wishes!

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/6690_1441048014.jpg
Answered by David C. Yao MD, FACS

Thank you for asking. The timing of your breast implant procedure is key. If recent, it may only be swelling that will resolve. If the implants were placed a while ago, it could be a capsule issue. See your plastic surgeon who can diagnose accurately and treat. Best wishes!

Published on Jul 11, 2012


Body by Ravi

Published on Jan 06, 2016

Based on the information that you have provided, it is difficult to assess if this is just pain related to a recent breast augmentation or capsular contracture. Typically, if the breast appears firm and is displaced, then you may be exhibiting signs of capsule contracture. Sometimes pain after a recent breast augmentation is very common. My suggestion is for you to follow up with your plastic surgeon so that you can actually be examined in person to determine if this is just normal postoperative pain that may require a muscle relaxant, or if it's a true capsular contracture, which will require surgery.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/7175_1500927615.jpg
Answered by Body by Ravi

Based on the information that you have provided, it is difficult to assess if this is just pain related to a recent breast augmentation or capsular contracture. Typically, if the breast appears firm and is displaced, then you may be exhibiting signs of capsule contracture. Sometimes pain after a recent breast augmentation is very common. My suggestion is for you to follow up with your plastic surgeon so that you can actually be examined in person to determine if this is just normal postoperative pain that may require a muscle relaxant, or if it's a true capsular contracture, which will require surgery.

Published on Jul 11, 2012


Aristocrat Plastic Surgery

Published on Jan 06, 2016

Thank you for your question. It seems you may be complaining about capsular contracture. You would need to be examined to confirm. If you do have capsular contracture, treatments would be surgery to release or replace the implants with removal of the capsule, or maybe you are a candidate for Aspen external nonsurgical ultrasonic treatment.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/6290_1447279522.jpg
Answered by Aristocrat Plastic Surgery

Thank you for your question. It seems you may be complaining about capsular contracture. You would need to be examined to confirm. If you do have capsular contracture, treatments would be surgery to release or replace the implants with removal of the capsule, or maybe you are a candidate for Aspen external nonsurgical ultrasonic treatment.

Published on Jul 11, 2012


Related Questions for Breast Augmentation

Breast Augmentation -17 answers
I had breast augmentation 6 weeks ago and they seem to have settled but i'm unsure. I'm feel like they are too small. I have tried on bras and I measure into a 32DD as well as 34 C sister size (I was a 32a prior). How long will it take for my breast to drop and fluff? I also have a gap in between which makes it difficult to achieve cleavage.
See More
Breast Augmentation -13 answers
I had a breast augmentation on April 8th. I feel like they are shaped funny and not as big as I wanted. I went submuscular. Prior to the surgery, I was a 38 B and now I have 560 cc silicone gel Inspira implants. I was hoping to be a DD. Should I have gone bigger? Will my breast take a more natural shape? When is a good time to get a new bra, and will I be a DD once my breasts have settled and healing is complete?
See More
Breast Augmentation -15 answers
I have friends who've gotten 500cc's and their breasts are quite big. After trying the 650cc sizers, they seemed to compliment my body more. Is there a big difference between the two sizes? Is 650 too large?
See More
Breast Augmentation -10 answers
I'm worried my 400 cc silicone is too big. I liked the sizer and my doctor told me it would look smaller.
See More
Breast Augmentation -20 answers
I want the fake Barbie doll high projected look. I want to know what I am getting before I get my breast done.
See More
Breast Augmentation -13 answers
I just had surgery yesterday and I got 355cc's. They look so small in my surgical bra and wrap. I'm worried that they won't be big enough. Do you know what size I might be once the implants settle? I'm hoping small D.
See More
Breast Augmentation -19 answers
I thought I was getting 400cc high profile silicone but my PS said they'll be 400cc moderate plus. I wanted a natural but big look, a D cup, and a small gap. Maybe that's why he chose those? Is there much difference in projection?
See More
Breast Augmentation -14 answers
My breast augmentation is next Saturday and I am hesitating between 225 and 250cc submuscular silicone! I am a 32A/tiny B and fill up a 32B bra at Victoria's Secret. I am looking to be a full B/small C. I'm 5"6 and weigh around 100lbs. I am so scared I'm going to look disproportional and fake, but am also scared this is going to make me go too small. My goal is to look natural and proportional, while at the same time have a nice rack. Which implant do you think will give me the desired look?
See More
Breast Augmentation -10 answers
Hi, I had surgery on 10/13/2016. I got 405cc hp under the muscle. My implants are high and they look square. Is this normal? When will they start to take their shape? They look smaller than what I expected. Will they get bigger?
See More
Get answers from our experienced doctors.
How it works
Breast Augmentation -13 answers
I was a full A, small B. My silicone implant size is 455 cc. What exacally is going to be my final size?
See More
Breast Augmentation -15 answers
I'm a little lost on the XL implants matter, that I personally like. Are they really unsafe? What are the reasons for that? It seems most PS don't recommend/perform them. Is it by lack of experience/expertise? Idealism? Are those PS who perform these procedures just "warriors" responding to a well present market? I would be curious to hear some honest answers, leaving the politically/socially correct behind. Thanks in advance.
See More
Breast Augmentation -19 answers
I am 5"4 and 145lbs. I am currently a 34C and would like to be a Dcup. My PS recommend a lift. I informed him i wanted implants but still want a natural look. PS recommended 485cc smooth moderate plus silicone obove the mucle. Possible mini lift during surgery depending on how the implant looks during surgery. It just sounds like a lot of CCs. It doesn't feel right and now I'm freaking out.
See More
Breast Augmentation -6 answers
I was a 36B before getting 580cc implants yesterday. I'm just curious, what cup size might I be after they've settled?
See More
Breast Augmentation -11 answers
I am 5'7" and weigh 158 pounds. I want XL implants. My goal is to have a Barbie doll/Playboy model look. Based on my height and weight, would 1200cc or 1250cc help me achieve that? I want high projection and side boob.
See More
Breast Augmentation -21 answers
I'm currently a large C-cup. My doctor said with 600cc I will end up around a DD. I'm fine with that but 600cc seems really big. Can my frame really handle that big of an implant and not look like Dolly Parton? I'm 5ft 8 in tall, 160lbs, size 10, wide shoulders.
See More
Breast Augmentation -27 answers
I know there is a vast amount of factors that go into breast augmentation, lifts, and implant manufacturer costs alongside anesthesia, facility, meds, and other costs. But in your experience what is a ball park cost range you typically see for breast augmentation, and breast augmentation + lift. It'd be very helpful if you share a range like 9-10k or 6-7k, etc. Thanks!
See More
Get answers from our experienced doctors.
How it works

Related Articles

Have specific questions?
ASK A DOCTOR