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Capsular Contracture

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Capsular Contracture: Understanding the Condition and its Implications

Capsular contracture is a common complication that can occur after breast augmentation surgery. It refers to the abnormal tightening or hardening of the scar tissue that forms around breast implants. This condition can cause discomfort, distortion of the breast shape, and in severe cases, pain.

Causes and Risk Factors

The exact cause of capsular contracture is not fully understood, but several factors have been identified as potential contributors:

  • Bacterial contamination during surgery
  • Bleeding around the implant
  • Implant rupture or leakage
  • Genetic predisposition
  • Smoking
  • Radiation therapy

While capsular contracture can occur at any time after breast augmentation, it is most commonly seen within the first few years following surgery.

Grades of Capsular Contracture

Capsular contracture is classified into four grades, known as the Baker grading system:

  • Grade I: The breast appears and feels natural
  • Grade II: The breast looks slightly abnormal, but feels soft
  • Grade III: The breast looks abnormal and feels firm
  • Grade IV: The breast looks abnormal, feels hard, and may be painful

It is important to note that the severity of capsular contracture can vary from person to person, and treatment options may differ accordingly.

Symptoms and Diagnosis

The symptoms of capsular contracture can vary depending on the grade and individual factors. Common signs include:

  • Tightness or hardening of the breast
  • Visible distortion or asymmetry
  • Pain or discomfort
  • Changes in breast shape or position

Diagnosing capsular contracture typically involves a physical examination by a plastic surgeon. Additional imaging tests, such as ultrasound or MRI, may be recommended to assess the extent of the condition.

Treatment Options

The treatment approach for capsular contracture depends on the severity of the condition and the individual’s goals. Options include:

  • Non-surgical interventions: Mild cases may respond to non-surgical treatments, such as massage, medication, or ultrasound therapy.
  • Revision surgery: In more advanced cases, surgical intervention may be necessary. This typically involves removing the scar tissue and replacing the implant.
  • Implant exchange: In some instances, changing the type or position of the implant may help alleviate symptoms and prevent recurrence.

It is important to consult with a board-certified plastic surgeon who specializes in breast surgery to determine the most appropriate treatment plan for individual needs.


While it is not always possible to prevent capsular contracture, certain measures can help reduce the risk:

  • Choose an experienced and qualified plastic surgeon
  • Follow post-operative care instructions diligently
  • Avoid smoking and exposure to secondhand smoke
  • Attend regular follow-up appointments with the surgeon

By taking these precautions, individuals can minimize the likelihood of developing capsular contracture and optimize their surgical outcomes.


Capsular contracture is a potential complication of breast augmentation surgery that can cause discomfort and aesthetic concerns. Understanding the causes, symptoms, and treatment options is crucial for individuals considering or experiencing this condition. Consulting with a skilled plastic surgeon is essential to receive personalized advice and develop an appropriate treatment plan.

For more information or to schedule a consultation with Dr. Karan Chopra, a renowned plastic surgeon specializing in breast surgery, please visit here.

FAQs about Capsular Contracture

What is capsular contracture?

Capsular contracture is a complication that can occur after breast augmentation or reconstruction surgery. It happens when scar tissue forms around the breast implant, causing it to harden and potentially become misshapen.

What are the symptoms of capsular contracture?

The symptoms of capsular contracture can vary, but they often include breast firmness, tightness, or discomfort. The breast may also appear rounder, higher, or distorted in shape. In severe cases, capsular contracture can cause pain and affect the overall appearance of the breast.

How is capsular contracture treated?

Treatment for capsular contracture may involve non-surgical or surgical options. Non-surgical treatments include massage, medication, and ultrasound therapy to help soften the scar tissue. In more severe cases, surgery may be necessary to remove or replace the implant and correct the capsule.

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