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Capsular Contracture Treatment

Capsular Contracture Symptoms And Treatment

What is capsular contracture?

One of the most common complications from breast augmentation is capsular contracture, a condition that results in distorted and sometimes even painful, hard breasts.

Traditional methods of correcting capsular contracture often result in recurrence. Our surgeons have created techniques to solve capsular contracture, resulting in a cure rate of over 95%.

Video: Dr. Cassileth Reveals What's Inside a Breast Implant Capsule

capsular contracture disection

A capsule is the normal tissue that the body produces surrounding a breast implant. Usually, it is pretty thin, sometimes almost transparent. The capsule is larger than the implant, allowing the implant to move around inside the capsule pocket and feel soft. In capsular contracture, the capsule becomes thicker and tightens which makes the space for the implant smaller and smaller. Some signs of capsular contracture can be the implant rising to a higher position on the chest or the breast looking oddly constricted and artificially round, like a baseball. The capsule can get so small that the implant feels firm (grade 3 capsular contracture) or can even feel hard and be painful (grade 4 capsular contracture)


To discover how our doctors deliver among the best capsular contracture treatment Beverly Hills & Los Angeles have available, and how they will give you the natural, beautiful breasts you deserve, call our office at 310.278.8200 or click here to schedule a consultation today.

Capsular Contracture Repair Before & After Patients

capsular contracture treatment before and afterAge: 48, from San Francisco, California. Patient had saline implants that were placed over the muscle with bilateral capsular contracture and overall did not like the appearance of her breasts. She switched to silicone implants that were placed under the muscle -492cc. capsular contracture treatment before and afterAge: 48, from San Francisco, California. Patient had saline implants that were placed over the muscle with bilateral capsular contracture and overall did not like the appearance of her breasts. She switched to silicone implants that were placed under the muscle -492cc. capsular contracture treatment before and afterAge: 48, from San Francisco, California. Patient had saline implants that were placed over the muscle with bilateral capsular contracture and overall did not like the appearance of her breasts. She switched to silicone implants that were placed under the muscle -492cc. before & after capsular contracture treatmentAge: 44, from Marin County, California. Patient came to us with bilateral capsular contracture and ruptured silicone implants. She had had one previous surgery to try and correct her capsular contracture from her original surgeon with no success. Dr. Cassileth performed a remove and replacement of silicone implants - 286cc. before & after capsular contracture treatmentAge: 44, from Marin County, California. Patient came to us with bilateral capsular contracture and ruptured silicone implants. She had had one previous surgery to try and correct her capsular contracture from her original surgeon with no success. Dr. Cassileth performed a remove and replacement of silicone implants - 286cc. before & after capsular contracture treatmentAge: 44, from Marin County, California. Patient came to us with bilateral capsular contracture and ruptured silicone implants. She had had one previous surgery to try and correct her capsular contracture from her original surgeon with no success. Dr. Cassileth performed a remove and replacement of silicone implants - 286cc. capsular contracture correction resultAge: 44, from Marin County, California. Patient came to us with bilateral capsular contracture and ruptured silicone implants. She had had one previous surgery to try and correct her capsular contracture from her original surgeon with no success. Dr. Cassileth performed a remove and replacement of silicone implants - 286cc. capsular contracture correction resultAge: 44, from Marin County, California. Patient came to us with bilateral capsular contracture and ruptured silicone implants. She had had one previous surgery to try and correct her capsular contracture from her original surgeon with no success. Dr. Cassileth performed a remove and replacement of silicone implants - 286cc. capsular contracture correction resultAge: 44, from Marin County, California. Patient came to us with bilateral capsular contracture and ruptured silicone implants. She had had one previous surgery to try and correct her capsular contracture from her original surgeon with no success. Dr. Cassileth performed a remove and replacement of silicone implants - 286cc. treatment of capsular contractureAge: 46, from Los Angeles, California. Mother of three wanted to swap her current implants from saline to silicone and down size them slightly. She also had bilateral capsular contracture. treatment of capsular contractureAge: 46, from Los Angeles, California. Mother of three wanted to swap her current implants from saline to silicone and down size them slightly. She also had bilateral capsular contracture. treatment of capsular contractureAge: 46, from Los Angeles, California. Mother of three wanted to swap her current implants from saline to silicone and down size them slightly. She also had bilateral capsular contracture. capsular contracture treatment before and afterAge: 62, from Pacific Palisades, California. Patient had severe capsular contracture on right side. Procedure: bilateral removal and replacement of breast implants with ADM placement. capsular contracture treatment before and afterAge: 62, from Pacific Palisades, California. Patient had severe capsular contracture on right side. Procedure: bilateral removal and replacement of breast implants with ADM placement. capsular contracture treatment before and afterAge: 62, from Pacific Palisades, California. Patient had severe capsular contracture on right side. Procedure: bilateral removal and replacement of breast implants with ADM placement. capsular contracture before and afterAge: 28, from Ojai, California. Patient had capsular contracture, asymmetry and implant rippling. A remove and replacement of implants was performed and ADM was placed. capsular contracture before and afterAge: 28, from Ojai, California. Patient had capsular contracture, asymmetry and implant rippling. A remove and replacement of implants was performed and ADM was placed. capsular contracture before and afterAge: 28, from Ojai, California. Patient had capsular contracture, asymmetry and implant rippling. A remove and replacement of implants was performed and ADM was placed. capsular contracture before and afterAge: 26, from Los Angeles, California. Patient had capsular contracture and asymmetry of breast implants. Breast implant size was decreased and a remove and replacement with an internal lift was performed. capsular contracture before and afterAge: 26, from Los Angeles, California. Patient had capsular contracture and asymmetry of breast implants. Breast implant size was decreased and a remove and replacement with an internal lift was performed. capsular contracture before and afterAge: 26, from Los Angeles, California. Patient had capsular contracture and asymmetry of breast implants. Breast implant size was decreased and a remove and replacement with an internal lift was performed.

See More Before & Afters

After 4 surgeries with other doctors, I had great peace of mind knowing I was in such skillful hands, I knew this was the right place for me to go to for my capsular contracture treatment, once and for all! You changed my life. Thank you from the bottom of my heart. I only wish I found you sooner! - Ashley L.

Studies show that up to 26.9% of women who receive breast implant surgery will develop Capsular Contracture.

If you have capsular contracture, the typical solution employed by plastic surgeons is a capsulectomy (removal of the tissue surrounding the implant). Unfortunately the failure rate of capsulectomy is 80%, and the capsular contracture recurs within a few months after the breast implant revision surgery. So what can be done differently?

To understand the solution, first we have to understand the problem.

What causes capsular contracture?

Capsular contracture is caused by anything that leads to inflammation of the capsule, making it thick and tight. The cause of capsular contracture is different patient to patient, and may be a result of several contributing factors. Common reasons include trauma or bleeding around the implant from the surgery, bacterial infection and biofilms (a film of cells that grow on inert surfaces), ruptured silicone or remnants of silicone from an old rupture, or patient reactivity to a foreign body.

Imagine the capsule as a net that contracts and tightens. Eventually, the net shrinks to the same size as the implant, trapping the implant so that it can no longer move within the net, and it becomes hard and immobile. Causing painful, hard breasts.

Preventing Capsular Contracture from Reoccurring

Capsular Contracture Treatment Beverly Hills

The Cassileth Plastic Surgery multi-focal technique to help prevent recurrence of capsular contracture:

  • Remove the infected implant and capsule
  • Use an Acellular Dermal Matrix to prevent recapsulization from occurring
  • Treat the infection

Removal of the infected implant and capsule

In your initial consultation, we will determine your likelihood for carrying a biofilm. Likely biofilm carriers are unilateral contracture patients (only one side affected), patient who had contracture following breastfeeding, and patient who have contracture following dental cleaning or illness. Biofilm carriers are also more like to have BII (Breast implant illness). If you are high risk, we will biopsy the capsule two weeks or more prior to your procedure, in a painless outpatient procedure. If you are low risk, the biopsy (small sample) can be taken during your capsular contracture removal surgery. The specimen is sent to a lab to test for bacteria and fungus. During the capsular contracture surgery, our doctors then carefully remove the complete capsule, including any fluid around the implant, granulation or inflammatory tissue within the capsule, or free-floating silicone (which can sometimes leak from a ruptured implant). Next our doctors use an antibiotic power wash to combat potential sources of inflammation that may be responsible for causing contracture.

The Internal Bra

Once the implant and capsule have been removed, our doctors create an internal bra with acellular dermal matrix (ADM), a biomaterial sheeting, which resists contracture and provides a protective layer between the breast and the implant. The ADM allows the body’s natural reaction to occur: a healthy capsule can form and fuse with the ADM, keeping the pocket soft and pliable. It also supports the implants and keeps your breasts in the ideal shape and position.

Treat the Infection

After your procedure, you will be kept on antibiotics until the test results are received. If bacteria growth is present, we will send you for a consult with an Infectious Disease specialist. You will begin a four week course of antibiotics tailored to the results of your microbiology tests. If your results are negative (no infection), you will undergo a shorter course of prophylactic antibiotics.

Capsular Contracture Is Graded with the Baker Scale:

Grade I — the breast is normally soft and appears natural in size and shape

Grade II — the breast is a little firm, but appears normal

Grade III — the breast is firm and appears abnormal

Grade IV — the breast is hard, painful to the touch, and appears abnormal

If you think you're are experiencing capsular contracture symptoms, your first step is to contact our office to schedule an appointment and ask any questions you like. We will provide you the utmost comfort and privacy, giving you the most comprehensive capsular contracture treatment Beverly Hills has to offer. Capsular Contracture repair is just one type of breast implants gone wrong issue that the three top Beverly Hills breast revision plastic surgeons, Dr. Cassileth, Dr Killeen, and Dr. Chang routinely fix for many happy patients.

Request your consultation with Cassileth Plastic Surgery today

Call us at 310.278.8200

or click here to request an appointment online