{"id":3852,"date":"2025-12-01T14:39:09","date_gmt":"2025-12-01T14:39:09","guid":{"rendered":"https:\/\/www.beckermd.com\/blog\/?p=3852"},"modified":"2025-12-05T14:34:13","modified_gmt":"2025-12-05T14:34:13","slug":"treatment-of-capsular-contracture-after-breast-implant-surgery","status":"publish","type":"post","link":"https:\/\/www.beckermd.com\/blog\/treatment-of-capsular-contracture-after-breast-implant-surgery\/","title":{"rendered":"Treatment of Capsular Contracture After Breast Implant surgery."},"content":{"rendered":"\n<p><strong><em>What it is, why it happens, and how it is treated<\/em><\/strong><\/p>\n\n\n\n<p><strong>What Is Capsular Contracture?<\/strong><\/p>\n\n\n\n<p>After a breast implant is placed, your body naturally forms a thin layer of scar tissue around it \u2014 called a <strong>capsule<\/strong>.<br>This is normal.<\/p>\n\n\n\n<p><strong>Capsular contracture<\/strong> occurs when that scar tissue tightens and becomes firm, squeezing the implant.<br>This can cause:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hardness<\/li>\n\n\n\n<li>Distortion of implant shape<\/li>\n\n\n\n<li>Breast sitting higher than normal<\/li>\n\n\n\n<li>Pain or discomfort<\/li>\n\n\n\n<li>Asymmetry<\/li>\n<\/ul>\n\n\n\n<p>It can occur early (months) or many years after surgery.<\/p>\n\n\n\n<p>The exact cause of capsular contracture is unknown.It can occur on one breast and not the other<\/p>\n\n\n\n<p><strong>How Is Capsular Contracture Treated?<\/strong><\/p>\n\n\n\n<p>Treatment depends on the severity, the type of implant, the pocket, and your goals.<br>Below are the standard treatments used by plastic surgeons \u2014 including those frequently used by Dr. Hilton Becker.<\/p>\n\n\n\n<p><strong>1. Medication (Very Limited Role)<\/strong><\/p>\n\n\n\n<p>Non-surgical treatments have <strong>not been consistently effective<\/strong>.<br>Sometimes early, mild cases may temporarily improve with:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Singulair (montelukast)<\/li>\n\n\n\n<li>Vitamin E<\/li>\n\n\n\n<li>Antibiotics\u00a0<\/li>\n\n\n\n<li>Massage (only if surgeon recommends)<\/li>\n<\/ul>\n\n\n\n<p>But <strong>these are not reliable<\/strong> for established contracture.<\/p>\n\n\n\n<p><strong>2. Surgical Treatment \u2014 the Proven Approach<\/strong><\/p>\n\n\n\n<p><strong>A. Capsulotomy<\/strong><\/p>\n\n\n\n<p>Instead of removing the capsule, the surgeon <strong>releases<\/strong> it with precise internal incisions to soften the breast and give the implant space.<br>Used in certain cases where the capsule is thin or removal isn\u2019t required.<\/p>\n\n\n\n<p><strong>B. Capsulectomy<\/strong><\/p>\n\n\n\n<p>Removal of the tight scar capsule around the implant.<br>Types include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Partial capsulectomy<\/strong><\/li>\n\n\n\n<li><strong>Total capsulectomy<\/strong><\/li>\n\n\n\n<li><strong>En-bloc capsulectomy<\/strong> (capsule and implant removed together)<\/li>\n<\/ul>\n\n\n\n<p>The choice depends on:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Severity<\/li>\n\n\n\n<li>Implant type<\/li>\n\n\n\n<li>Location<\/li>\n\n\n\n<li>Patient anatomy<\/li>\n<\/ul>\n\n\n\n<p><strong>Goal:<\/strong> Remove the contracture, relieve tightness, and start fresh.<\/p>\n\n\n\n<p><strong>C. Changing the Implant Pocket<\/strong><\/p>\n\n\n\n<p>Examples:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Moving implant from <strong>above<\/strong> the muscle \u2192 <strong>below<\/strong> the muscle<\/li>\n\n\n\n<li>Moving implant from <strong>below<\/strong> the muscle \u2192 <strong>above<\/strong>, with internal support<\/li>\n\n\n\n<li>Creating a new, clean pocket (called <strong>neo-pocket<\/strong>)<\/li>\n<\/ul>\n\n\n\n<p>By placing the implant into a new pocket, the risk of contracture returning is significantly reduced.<\/p>\n\n\n\n<p><strong>D. Using Acellular Dermal Matrix or Mesh (\u201cInternal Bra\u201d)<\/strong><\/p>\n\n\n\n<p>Dr. Becker is known for this technique.<\/p>\n\n\n\n<p>Acellular dermal matrix (ADM) or surgical mesh can:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Cover the implant\u00a0 less exposure of the implant to the tissues<\/li>\n\n\n\n<li>Reinforce weak tissue<\/li>\n\n\n\n<li>Reduce recurrence of contracture<\/li>\n\n\n\n<li>Help shape the implant pocket correctly<\/li>\n<\/ul>\n\n\n\n<p>This is often recommended for patients with repeated capsular contracture.<\/p>\n\n\n\n<p><strong>E. Changing the Implant Type or Size<\/strong><\/p>\n\n\n\n<p>Your surgeon may recommend:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Using a different style (smooth vs textured)<\/li>\n\n\n\n<li>Downsizing to reduce tension<\/li>\n\n\n\n<li>Switching from <strong>silicone to saline<\/strong><\/li>\n\n\n\n<li><strong>Using an adjustable saline implant and keeping it overexpanded for a period of time and then reducing the volume.This serves to allow a larger capsule to form whichmayreduce recurrence\u00a0<\/strong><\/li>\n<\/ul>\n\n\n\n<p><strong>F.&nbsp; Post operative&nbsp; <\/strong>physical therapy involving&nbsp;<\/p>\n\n\n\n<p>1 Soundwave Ionophoresis to facilitate antibiotic penetration&nbsp; of surrounding tissue and any biofilm formation<\/p>\n\n\n\n<p>2 Goal orientated massage and capsule stretching&nbsp;<\/p>\n\n\n\n<p>&nbsp;<strong>G Removing Implants Altogether (\u201cExplant\u201d)&nbsp;<\/strong><\/p>\n\n\n\n<p>Some women choose to remove implants permanently.<br>Dr. Becker often combines explant surgery with:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Total capsulectomy<\/strong><\/li>\n\n\n\n<li><strong>Fat grafting<\/strong> to restore natural volume<\/li>\n\n\n\n<li><strong>Mastopexy (breast lift)<\/strong> when needed<\/li>\n<\/ul>\n\n\n\n<p>This creates soft, natural breasts without the risk of future contracture.<\/p>\n\n\n\n<p><strong>3. Fat Grafting as Part of Treatment<\/strong><\/p>\n\n\n\n<p>Fat transfer can be used to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Soften the breast<\/li>\n\n\n\n<li>Improve tissue quality<\/li>\n\n\n\n<li>Restore shape after implant removal<\/li>\n\n\n\n<li>Fill contour irregularities<\/li>\n<\/ul>\n\n\n\n<p>It is often used to improve results and reduce implant visibility.<\/p>\n\n\n\n<p><strong>Why Does Capsular Contracture Happen?<\/strong><\/p>\n\n\n\n<p>Several factors may contribute:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bacterial biofilm<\/li>\n\n\n\n<li>Implant rupture<\/li>\n\n\n\n<li>Bleeding or trauma around the implant<\/li>\n\n\n\n<li>Sub-glandular implant placement<\/li>\n\n\n\n<li>Thin tissue or repeated surgeries<\/li>\n\n\n\n<li>Genetic tendency to form thicker scar tissue<\/li>\n<\/ul>\n\n\n\n<p>Modern surgical techniques greatly reduce these risks.<\/p>\n\n\n\n<p><strong>Success Rates<\/strong><\/p>\n\n\n\n<p>Most patients experience:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Softer breasts<\/li>\n\n\n\n<li>Improved shape<\/li>\n\n\n\n<li>Relief from tightness or pain<\/li>\n\n\n\n<li>Long-term stability when corrective steps are followed<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>What it is, why it happens, and how it is treated What Is Capsular Contracture? After a breast implant is placed, your body naturally forms a thin layer of scar tissue around it \u2014 called a capsule.This is normal. Capsular contracture occurs when that scar tissue tightens and becomes firm, squeezing the implant.This can cause: &hellip; <a href=\"https:\/\/www.beckermd.com\/blog\/treatment-of-capsular-contracture-after-breast-implant-surgery\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Treatment of Capsular Contracture After Breast Implant surgery.<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":3858,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3852","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Treatment of Capsular Contracture After Breast Implant surgery. - Plastic Surgery Boca Raton | Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.beckermd.com\/blog\/treatment-of-capsular-contracture-after-breast-implant-surgery\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Treatment of Capsular Contracture After Breast Implant surgery. - Plastic Surgery Boca Raton | Blog\" \/>\n<meta property=\"og:description\" content=\"What it is, why it happens, and how it is treated What Is Capsular Contracture? After a breast implant is placed, your body naturally forms a thin layer of scar tissue around it \u2014 called a capsule.This is normal. 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