Posted July 21, 2025 in Capsular Contracture
Capsular contracture is a complication that can occur after breast augmentation, causing discomfort and a feeling of tightness. In this blog, learn what causes capsular contracture, how to recognize symptoms, and how breast implant explantation can help relieve pain and restore comfort.
4 Min Read:
Table of Contents
- Understanding Capsular Contracture
- Common Causes of Capsular Contracture
- Signs and Symptoms of Capsular Contracture
- Breast Implant Explantation for Capsular Contracture
- Recovery After Explant Surgery
- Interested in Breast Implant Explantation in Dallas, TX?
Understanding Capsular Contracture
Capsular contracture occurs when the scar tissue that naturally forms around a breast implant begins to harden, tighten, or constrict the implant. This condition can lead to discomfort, hard or stiff breast tissue, or changes in breast shape and position. While not extremely common or life-threatening, the pain and discomfort caused by this condition can affect a woman’s daily routine, sense of self-esteem, and overall quality of life.
An implant is considered a foreign object, and the body naturally reacts by producing scar tissue as a form of self-defense. Therefore, the development of a capsule of scar tissue is a normal immune response and is to be expected during breast augmentation recovery. In most cases, the capsule remains soft and unnoticeable. However, capsular contracture develops when the capsule tissue becomes abnormally firm or contracts around the implant. In most cases, breast explantation surgery is the most effective way to treat this condition.
Common Causes of Capsular Contracture
The exact reason behind capsular contracture is not always apparent, and it can vary from patient to patient. Several contributing factors have been identified:
- Bacterial contamination or biofilm
- Implant rupture or leakage
- Physical trauma or injury to the chest area
- Genetic predisposition to excessive scar tissue
- Post-operative bleeding or hematomas (rare)
Capsular contracture can occur with either saline or silicone implants, and it may develop shortly after surgery or years later. Regular patient screenings, especially for silicone implants, are recommended to detect any issues.
Signs and Symptoms of Capsular Contracture
Capsular contracture can present with a range of symptoms. These may be mild at first and become more noticeable over time.
Common symptoms include:
- Breast firmness or tightness
- Discomfort or pain in the breast
- A distorted or misshapen appearance
- A shift in implant position
- One breast appears higher than the other
Anyone experiencing these symptoms should consult with a board-certified plastic surgeon for evaluation and treatment options.
Breast Implant Explantation for Capsular Contracture
For moderate to severe capsular contracture, surgical treatment is often recommended. Breast implant explantation involves removing the implant and, in many cases, the surrounding capsule as well.
Removing the capsule can relieve pressure, restore a more natural breast shape, and eliminate associated discomfort. Explantation is also beneficial for those who are experiencing other implant-related complications or who no longer wish to have implants.
Should You Replace Your Breast Implants?
Some individuals choose to replace the removed implant with a new one during the same operation. Others prefer to forgo future implants altogether. This decision depends on personal goals, medical history, and surgeon recommendations.
Additional procedures, such as fat grafting or a breast lift, may be discussed to improve cosmetic outcomes if implants are not replaced.
Recovery After Explant Surgery
Recovery from explantation with or without capsulectomy can vary. Most post-operative care instructions typically include:
- Wearing a supportive garment or surgical bra
- Avoiding strenuous activity for several weeks
- Managing discomfort with prescribed medications
- Attending all follow-up appointments
Most patients experience immediate relief from tightness or pressure after their breast implant removal surgery. Final results continue to improve as swelling subsides and the tissue adjusts to its new position.
Interested in Breast Implant Explantation in Dallas, TX?
If you’re experiencing signs of capsular contracture or are considering implant removal for any reason, it may be time to speak with an experienced, board-certified plastic surgeon. Dr. David Morales specializes in breast implant explantation and can help you determine the best course of action for your individual needs.
Call (214) 827-8407 or complete our online form to schedule a consultation.
