What is Capsular Contracture?
Capsular contracture is a condition that occurs when scar tissue forms tightly around a breast implant, causing the breast to harden, change shape, or become painful. It’s one of the most common complications following breast augmentation or reconstructive breast surgery or breast augmentation surgery. While some degree of scar tissue is expected after surgery, capsular contracture occurs when that tissue contracts more aggressively than normal, potentially distorting the implant and affecting both the feel and appearance of the breast.
Recognizing the Signs
Patients with capsular contracture often describe a gradual onset of symptoms. It may begin with mild firmness or tightness in the breast, often accompanied by a subtle change in shape. As the capsule thickens and contracts, the breast can appear unnaturally high, round, or misshapen. Discomfort may follow, particularly when lying on the chest or engaging in physical activity. Over time, the firmness can increase, and pain can become more prominent, especially in more severe cases.
What Causes Capsular Contracture?
The exact cause isn’t always clear, but several contributing factors are well established. Bacterial contamination during surgery is one possible trigger, leading to a low-grade infection that stimulates an exaggerated immune response. Hematoma, seroma, implant rupture, and even radiation therapy have also been linked to higher rates of contracture. Rupture of silicone implants can be particularly difficult to detect and may require regular imaging, such as MRI, to monitor implant integrity. In some cases, genetic predisposition or autoimmune response may influence how the body reacts to foreign materials like implants.
Breast Implant Removal Options
For many women in Boca Raton, breast implant removal becomes a consideration due to capsular contracture, implant rupture, or simply a change in personal preference. Breast implant removal surgery is a highly individualized procedure that involves surgically removing the breast implant and, in many cases, the surrounding scar tissue. Depending on your goals and needs, your board-certified plastic surgeon may recommend implant removal alone, implant removal with a breast lift to restore a natural breast contour, or implant removal followed by the placement of new implants.
During your consultation, your plastic surgeon will discuss all available breast implant removal options, taking into account your medical history, the condition of your breast tissue, and your desired outcome. The procedure is typically performed under general anesthesia and usually takes one to two hours. After surgery, patients can expect some swelling, bruising, and discomfort, which can be managed with prescription pain medication. Whether you are seeking implant removal due to capsular contracture, implant rupture, or for personal reasons, a tailored treatment plan will help you achieve the most natural and satisfying results.
Treatment Options for Capsular Contracture
When symptoms are mild, some patients may be candidates for non-surgical management, such as ultrasound therapy, massage protocols, or medications like leukotriene inhibitors. These approaches are not always effective for moderate to severe contractures, but they may help in early stages or for patients not yet ready for revision surgery.
Surgical treatment remains the most reliable and definitive approach. A capsulectomy—removal of the scar capsule—is often performed along with implant replacement or removal. A revision procedure may involve surgically removing the problematic implant and capsule, followed by careful planning of implant placement to optimize both function and aesthetics. Depending on the severity of the contracture and whether the implant is being replaced, a surgeon may also recommend switching implant planes (from above to below the muscle or vice versa) or changing the implant type altogether. Breast implant revision is tailored to address each patient's unique needs and may include adjustments to implant placement or type to achieve the best possible outcome. In more complex cases, such as those involving multiple revisions or significant tissue damage, acellular dermal matrices (ADMs) may be used to support the new implant and reduce the risk of recurrence.
Benefits of Breast Revision Surgery
Breast revision surgery offers significant benefits for patients who are dissatisfied with the results of a previous breast surgery or are experiencing complications such as capsular contracture or implant rupture. This procedure allows for the correction of issues like asymmetry, implant displacement, or changes in breast shape, helping restore a more natural and aesthetically pleasing appearance. Many patients also use breast revision surgery as an opportunity to change their implant size, type, or placement, ensuring their breasts better match their current lifestyle and preferences.
Beyond cosmetic improvements, breast revision surgery can alleviate discomfort or pain associated with implant complications, enhancing overall well-being and self-confidence. By working with an experienced, board-certified plastic surgeon, patients receive a personalized approach that addresses their unique concerns and goals. Every revision surgery is tailored to the individual, ensuring the best possible outcome and a renewed sense of satisfaction with your breast appearance.
Consultation and Preparation
Your consultation at our Boca Raton practice is more than a brief overview—it’s a comprehensive evaluation where your questions are welcomed and every concern is taken seriously. Dr. Horn will examine the firmness of the implant, review your surgical history, including any previous breast surgeries or previous surgeries related to your breasts, as these details are crucial for planning a safe and effective revision, and may recommend imaging if needed. Together, you’ll review treatment options and decide on a plan aligned with your body and goals. Prior to surgery, you’ll receive detailed instructions about medications to pause, lifestyle modifications, and logistical preparations to support a smooth recovery.
Choosing a surgeon with extensive training in complex breast procedures ensures that your revision is handled with the highest level of expertise.
The Procedure: Treating Capsular Contracture
Depending on the surgical approach, Dr. Horn may release, revise, or remove the scar tissue capsule. The most effective technique often involves a total capsulectomy combined with either implant replacement or removal, depending on your personal goals. Whenever possible, incisions are made along the breast crease or lower breast crease, often utilizing the same location as the first surgery to minimize additional scarring. The inframammary fold is a common site for these incisions, providing optimal access for implant removal or replacement. The surgery is performed under general anesthesia in our accredited surgical suite and typically lasts 1 to 2 hours.
Post-surgery, new implants are carefully placed into a healthier tissue plane or supported by ADM, when appropriate. If you’re choosing to forgo new implants, Dr. Horn will focus on reshaping and tightening your natural breast tissue and may surgically remove excess skin to restore a firmer, more youthful breast contour for the most aesthetically pleasing result.
Day of Surgery: What to Expect
On the day of your breast revision surgery in Boca Raton, you’ll arrive at the surgical facility ready for your procedure. After checking in, you’ll meet with your plastic surgeon and anesthesia team, who will review your treatment plan and answer any last-minute questions. The surgery is performed under general anesthesia, ensuring you are comfortable and pain-free throughout the procedure. Depending on the complexity of your revision surgery, the operation may take several hours.
Once the surgery is complete, you’ll be moved to a recovery area where you’ll be closely monitored as you wake up from anesthesia. Most patients are able to go home the same day, but it’s important to arrange for someone to drive you and stay with you for the first 24 hours. You can expect some swelling, bruising, and discomfort, which your surgeon will help you manage with prescription pain medication. Following your plastic surgeon’s post-operative instructions is essential for a smooth recovery and optimal results.
Recovery and Aftercare
Recovery after capsular contracture treatment varies depending on the extent of surgery. Most patients experience swelling, soreness, and tightness for several days, with prescription pain management available as needed. Most swelling subsides within one to two weeks, although minor residual swelling may persist for several weeks as your body continues to heal. Drains may be used temporarily to reduce fluid buildup. You’ll be given a supportive surgical bra and detailed aftercare guidelines.
Light activities can resume after about a week, but strenuous exercise and lifting should be avoided for at least 4 to 6 weeks. Scar management, massage techniques (when appropriate), and post-operative follow-ups will be outlined as part of your recovery plan.
Results and Long-Term Outlooks
Successful treatment leads to a softer, more natural-feeling breast and a noticeable improvement in breast shape. The goal is to achieve your desired results with natural-looking results that complement your body and personal preferences. When recurrence is addressed properly—with the right surgical technique and patient care—many patients enjoy long-lasting results. While no procedure can entirely eliminate the risk of future contracture, expert surgical technique and ongoing care can dramatically reduce it.
Can Capsular Contracture Be Prevented?
While it’s not always possible to prevent capsular contracture entirely, certain techniques and precautions can help reduce the risk. Choosing a board-certified plastic surgeon who uses meticulous surgical techniques and maintains a sterile environment is critical. Placing the implant under the muscle (submuscular placement) and using textured implants or implants with a proven low-contracture profile may also lower the chance of recurrence. Avoiding smoking and closely following post-operative care instructions can further support healthy healing.
Discussing your medical history and risk factors with your surgeon will help determine if you are a good candidate for specific preventive techniques or implant types.
How Much Does it Cost to Treat Capsular Contracture?
The cost of capsular contracture treatment varies based on the surgical approach, whether new implants are placed, and whether specialized techniques like ADM are used. Most patients can expect a price range of $7,000 to $15,000, which may include anesthesia, facility fees, implants (if applicable), and post-operative care.
During your consultation, you’ll receive a personalized quote with full transparency. Our team also provides information on financing options to make treatment more accessible.
Why Choose Dr. Horn for Capsular Contracture Correction in Boca Raton
Dr. Michael Horn is a board-certified plastic surgeon and experienced plastic surgeon specializing in cosmetic surgery, known for his expertise in breast revision surgery and patient-centered care. With years of experience treating complex breast implant complications, Dr. Horn approaches each case with a tailored strategy to restore both aesthetic appearance and patient comfort. His Boca Raton practice offers advanced surgical technology in a safe, accredited facility, with a team that supports you from your first consultation through your final results.
Book Your Consultation in Boca Raton
If you’re experiencing symptoms of capsular contracture or want to revise your breast implants, schedule your consultation with Dr. Michael Horn in Boca Raton today. We’re here to help you feel comfortable, confident, and supported every step of the way.
Many women find that addressing capsular contracture or revising their breast implants leads to renewed confidence and satisfaction with their appearance.
Capsular Contracture FAQs
The longevity of a breast lift depends on several factors, including skin quality, age, weight fluctuations, and whether you become pregnant again. On average, results can last 10–15 years, although some patients may benefit from a touch-up or additional procedures over time.
Non-surgical options like radiofrequency skin tightening or ultrasound-based treatments can offer mild improvements in skin tone and firmness. While these treatments may lift the breasts slightly, they don’t replicate the results of a surgical breast lift and are best for early or minimal sagging.
As with any surgery, there are potential risks including scarring, changes in nipple sensation, and asymmetry. While rare, complications like infection or delayed healing can occur. Additionally, patients must consider that gravity, aging, and weight fluctuations may eventually affect their results.
In many cases, a breast lift can be comparable in cost or even more expensive than augmentation, depending on the complexity of the lift. Some patients opt to combine both procedures, which can influence the total price.
Improving posture, strengthening chest muscles with targeted exercises, and wearing supportive bras can offer modest improvements, but these measures do not replace surgical lifting. Skin creams and topical treatments have a limited effect.
No, the nipples are not removed. They are typically repositioned higher on the breast mound while remaining attached to the underlying tissue to preserve sensation and function. In rare cases of extremely severe sagging, a nipple graft may be necessary, but this is uncommon.
