Capsular contracture happens when the scar tissue, or capsule, that naturally forms around a breast implant starts to tighten. This tightening can cause the breast to feel firmer than usual and might even lead to discomfort. The capsule forms as part of the body’s normal healing process, but in some cases, it can become overly thickened. When this occurs, it can squeeze the implant, changing its shape and texture.
Several factors might contribute to the development of capsular contracture. These include the type of implant used, the placement of the implant, and the surgical technique employed. For instance, subglandular placement (where the implant is placed above the chest muscle) has been linked to a higher risk of this condition compared to submuscular placement (where the implant is placed below the chest muscle). Additionally, certain types of implants, like those with a textured surface, might reduce the likelihood of capsular contracture, though the evidence on this is mixed.
Infections can also play a significant role. Even a minor infection during the healing process can increase the risk. Furthermore, inadequate post-operative care, such as neglecting massage techniques recommended by your surgeon, may contribute to the problem. Some studies suggest that the body’s immune response to the implant can also be a factor, particularly if the immune system is overly reactive.
Understanding the underlying causes and risk factors can help in identifying the problem early and seeking appropriate treatment. While capsular contracture is a known complication, many patients do not experience it, especially with proper surgical techniques and post-operative care. Board-certified female plastic surgeon Dr. Farah Naz Khan provides breast revision surgery to patients in Dallas, Plano, Texas, and surrounding communities.
Typical Reasons for Implant Firmness
Breast implants can become firm for various reasons. A common cause is the formation of a thickened scar tissue capsule around the implant. This capsule can contract over time, making the breast feel harder. Infections, even minor ones, during the healing process can contribute to this issue. If an infection occurs, the body’s response can lead to increased scar tissue formation.
Another potential cause is bleeding around the implant, known as a hematoma. This can happen shortly after surgery or even later on, and the resulting blood collection can stimulate scar tissue growth. Trauma to the breast area can also lead to increased firmness. Any physical impact or injury can affect the tissue surrounding the implant and promote scar tissue development.
Certain factors related to the implants themselves can influence the risk of firmness. For example, smooth implants have been associated with a higher rate of capsular contracture compared to textured implants, although the evidence varies. The placement of the implant also plays a role; implants placed above the chest muscle are more prone to contracture than those placed below.
The body’s immune response can be a significant factor as well. Some individuals may have an overly reactive immune system that triggers excessive scar tissue formation around the implant. Furthermore, inadequate post-operative care can exacerbate the issue. Not following prescribed care routines, such as massage techniques, can hinder proper healing and increase the likelihood of implant firmness.
Lastly, the surgical technique used during the initial procedure can impact the development of firmness. An experienced surgeon can employ methods that minimize the risk of complications, but less meticulous techniques might increase the chances of developing excessive scar tissue.
Indicators and Symptoms to Look Out For
Be aware of any physical changes in the texture or shape of your breasts after getting implants. An early indicator might be an unusual firmness that wasn’t there initially. This firmness could be a sign that the scar tissue around the implant is tightening. Additionally, observe any alterations in the appearance of your breasts. They might start to look distorted or different from their original post-surgery state.
Pain or discomfort in the breast area can also signal an issue. This is particularly concerning if the pain is persistent or intensifies over time. It’s essential to differentiate between normal post-surgical discomfort and pain that could indicate a developing problem. Some women might also notice changes in how their clothes fit or feel, as the breast shape changes.
Swelling or redness around the implant area could point to complications like an infection, which can contribute to the hardening of the implants. In some cases, the skin over the breast might feel warm to the touch. If you detect any lumps or uneven areas in your breasts, these could also be warning signs.
It’s important to be vigilant and not dismiss these symptoms, even if they seem minor. Early detection of any of these signs can help in addressing the problem before it worsens.
Diagnosis and Professional Advice
If you suspect capsular contracture, timely consultation with your surgeon is essential. They can perform a detailed examination to assess the situation. Diagnostic tools such as MRI or ultrasound are often utilized to get a clearer picture of the internal condition. These imaging techniques help determine the extent of the contracture and guide the treatment plan.
During your consultation, your surgeon will discuss your symptoms and medical history to identify potential triggers. This conversation can provide valuable insights into the root cause of the firmness. Based on the findings, your surgeon may recommend specific treatments tailored to your needs.
For mild cases, non-invasive methods like medication or external ultrasound therapy might be suggested. These options aim to soften the scar tissue and improve the implant’s feel. However, if the contracture is more advanced, surgical intervention could be necessary.
Breast revision surgery, a common solution for severe capsular contracture, involves removing or releasing the scar tissue. In some instances, the surgeon may also replace the implant to achieve a better outcome. The goal is to restore the natural appearance and softness of the breast.
Your surgeon’s expertise plays a critical role in determining the most appropriate course of action. They will provide detailed explanations of the potential risks and benefits associated with each treatment option. This information will help you make an informed decision about your care.
Regular follow-up appointments are also vital. They allow your surgeon to monitor the progress of any treatment and make adjustments as needed. Staying proactive about your health and maintaining open communication with your healthcare provider can significantly impact the success of your treatment.
Contact Board Certified Dallas Female Plastic Surgeon, Dr. Farah Khan to Schedule a Consultation
To schedule a consultation with Board Certified Dallas Plastic Surgeon, Dr. Farah Khan please call 469-437-5426 or click here to contact us.
Taking patients from in and around Dallas, Plano, Fort Worth, Grapevine, Garland, Mesquite, Carrollton, Irving, Frisco, Texas and more.
Winter offers several advantages for those considering plastic surgery. Cooler temperatures allow for a more comfortable recovery experience, as many post-operative care instructions recommend staying indoors and keeping the body cool to reduce swelling and bruising. This season is often associated with more flexible work schedules and less demanding social calendars, making it easier to plan and commit to the necessary downtime for healing.