Understanding Capsular Contracture: Symptoms, Prevalence, and Treatment Options

Symptoms of Capsular Contracture

Capsular contracture can develop slowly over time or suddenly, usually within the first two years after surgery. The symptoms vary widely from mild to severe, depending on the degree of contraction.

• Grade I: The breast is soft and appears natural in size and shape.
• Grade II: The breast is a little firm but seems normal.
• Grade III: The breast is firm and visible abnormalities, such as shape distortion, are evident.
• Grade IV: The breast is hard, painful to touch, and visibly distorted or misshapen.

Some women may experience pain or discomfort, especially at higher grades, while others might notice aesthetic changes before feeling any physical discomfort. Regular check-ups post-surgery can help detect any signs of capsular contracture at an early stage.

Prevalence of Capsular Contracture

The prevalence of capsular contracture can vary based on several factors, including the type of implant used, the surgical technique, and the individual’s healing process. According to a 2011 meta-analysis in the Journal of Plastic, Reconstructive & Aesthetic Surgery, the overall capsular contracture rate in women who have undergone breast augmentation is approximately 10-15%.

It’s also important to note that women who have undergone radiation therapy for breast cancer are at a higher risk for developing capsular contracture.

Treatment Options for Capsular Contracture

Several treatment options are available for capsular contracture, often depending on the severity of the symptoms:

• Capsulotomy or Capsulectomy: In more severe cases, surgical intervention may be necessary. Capsulotomy involves surgically releasing the tightened scar tissue, while capsulectomy involves completely removing the scar tissue capsule.
• Implant Replacement or Removal: If surgical intervention doesn’t lead to the desired results or if the contracture recurs, the breast implant may need to be replaced.

At the time of consultation, Dr. Ian MacArthur will discuss the risks of capsular contracture in detail and will answer any questions you may have.

If you have a preferred surgery date, do not wait until it’s too late

New Age Medical Aesthetics & Plastic Surgery is a very active aesthetic practice. If you have a preferred surgery date, do not wait until it’s too late. Call (613) 595-1880 to reserve your consultation. Our Patient Coordinators are happy to help you.