Capsular Contracture: When Breast Implant Revision May Be Recommended

A cropped shot of a woman in a black bra after breast implant revision in San Antonio Breast implants are designed to look and feel natural for many years, but sometimes complications can develop. One of the most common issues is capsular contracture, a condition that can cause breast implants to feel firm, look distorted, or become uncomfortable.

If you’ve noticed changes in the shape or feel of your implants, you might wonder whether something is wrong—and whether breast implant revision could be a good solution.

As a board-certified plastic surgeon, Dr. Jessica Belz has extensive training in aesthetic and reconstructive breast surgery. Her compassionate approach and attention to detail help patients decide which approach is best for their needs and goals.

What Is Capsular Contracture?

After breast implant surgery, the body forms a thin layer of scar tissue around the implant. This tissue capsule helps hold the implant in place and is usually soft and flexible.

In some cases, the capsule tightens and thickens. When this happens, the implant can become compressed, leading to capsular contracture.

Common signs include:

  • Breast firmness or hardness
  • Visible distortion or misshapen breasts
  • Discomfort or pain in the breast
  • Implants that appear higher than expected
  • Changes in breast symmetry

Capsular contracture can occur months or even years after breast augmentation.

What Causes Capsular Contracture?

The exact cause is not always clear, but several factors may increase the likelihood of developing capsular contracture.

Possible causes include:

  • Bacterial contamination around the implant
  • Bleeding or fluid buildup after surgery
  • Implant rupture or leakage
  • Radiation therapy
  • The body’s innate inflammatory response

While capsular contracture cannot always be prevented, careful surgical technique and proper aftercare can reduce risk.

When Is Breast Implant Revision Recommended?

Not every case of capsular contracture requires surgery. However, breast implant revision may be recommended if the condition causes discomfort or noticeable cosmetic changes.

Revision surgery may involve:

  • Removing or releasing the tightened scar tissue (capsulectomy or capsulotomy)
  • Replacing the implant with a new one
  • Changing the implant type or size
  • Adjusting the implant pocket to improve positioning

The goal of breast implant revision is to relieve tightness, restore a natural appearance, and improve overall comfort.

Discuss Breast Implant Revision Today

Capsular contracture can be frustrating, but it is also treatable. If you’re experiencing changes in your implants or discomfort, Dr. Jessica Belz in San Antonio, TX, can help you evaluate your situation and discuss potential treatment options. Call the office today at (210) 497-7100 to learn more and schedule a consultation.

 

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