capsular contractureCapsular contracture is one of the most common conditions that can develop following a breast augmentation procedure. In fact, some studies estimate that over 26% of women who undergo an initial breast augmentation will develop capsular contracture severe enough to warrant revision surgery. The symptoms of capsular contracture can range from slight hardening to severe deformity and pain. Aside from the physical symptoms, many women who develop capsular contracture also experience psychological symptoms such as lowered self-esteem or depression.

If you are considering a breast implant revision procedure to treat your capsular contracture, it is important to choose only the best, most qualified surgeon to perform your revision procedure. At La Peer’s Revision Plastic Surgery Center of Excellence, our team of highly trained, board certified plastic surgeons perform countless successful capsular contracture corrections annually. Please contact us at your earliest convenience with any questions you may have about your condition or potential breast implant revision procedure.

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What is Capsular Contracture?

In healthy individuals, the capsule, or pocket surrounding the breast implant, is thin and nearly transparent. Ideally, the capsule is large enough so that the implant can move around freely and maintain a soft, supple feel. In patients who develop capsular contracture, the capsule thickens and tightens around the implant, preventing any implant movement. Some common signs of capsular contracture include:

  • Breasts that have risen to an unnaturally elevated position on the chest
  • A constricted or tight appearance to the chest
  • Implants that appear unnaturally round, like a baseball
  • Implants that feel firm or hard
  • Pain accompanied by one or more of the symptoms listed above

Patients that think they may have developed capsular contracture following a breast augmentation should consult and expert revision plastic surgeon before symptoms worsen.

Find out if you are a candidate for revision surgery by visiting our “Do I Qualify?” page

How is Capsular Contracture Diagnosed?

During a one-on-one consultation, your surgeon will conduct a full examination and collect a detailed medical history in order to diagnose the type and severity of your condition. Capsular contracture occurs in most patients who undergo an initial breast augmentation, but only some will develop symptoms severe enough to warrant a follow up revision procedure. The degree to which the condition has progressed is measured in four grades:

Grade I capsular contracture – In grade I capsular contracture, the breast remains soft and normal in appearance. Neither the size nor shape of the breast are affected in grade I.

Grade II capsular contracture – When capsular contracture has progressed to grade II, the breast may feel slightly firm to the touch but remain aesthetically normal.

Grade III capsular contracture – Patients with grade III capsular contracture may begin to notice the breast is unusually firm and taking on an abnormal shape.

Grade IV capsular contracture – Grade IV capsular contracture is characterized hardening, pain, and an abnormal appearance in one or both breasts.

Surgical Treatments for Capsular Contracture

Several safe and effective treatment options now exist for patients suffering from capsular contracture. During the procedure, your surgeon will first need to remove the infected implant and capsule. In order to prevent treat and help prevent further infection, your physician will administer antibiotics intravenously and irrigate the remaining breast tissue. Depending on the progression of the condition, internal support structures, drains, fat grafts, and/or an internal breast lift may become necessary for the best results. After surgery, you will begin a course of strong, customized antibiotics that could last up to 6 weeks. Once your expert revision surgeon has determined that the pocket is clear of any infection, the implant can be reinserted. Given that the new implant must be placed in the same pocket of the old implant, there is a risk of re-infection.

Find out more about revision surgeries by visiting our “what to expect” page.

Before and After Photo Gallery

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To see more before and after revision surgery pictures, please visit our photo gallery.

Contact the Best Revision Plastic Surgeons in Beverly Hills

Located in the hearth of Beverly Hills, the Revision Plastic Surgery Center of Excellence houses a staff of plastic surgeons that specialize in a variety of revision procedures. Our plastic surgeons are considered experts in their field and have performed countless life-changing revision surgeries. If you have any questions or would like to schedule a consultation with one of our knowledgeable physicians, don’t hesitate to contact us at 888.546.7384.

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