Is it common for a doctor to detect capsular contracture by reviewing before pics of the patient?

A photograph can be the first step in deciding whether or not you have capsular contracture.  The implants may appear to be a different height and/or shape but this could be due to a natural asymmetry.  Your plastic surgeon will be able to tell once you are examined.  Along with the change in appearance, you might notice more of a "tightness" or increased firmness that was not felt before.Good luck!

Yes it is very common and very necessary to evaluate preop photos when attempting a diagnosis capsular contracture.  This is especially true if the capsule is early and is not profound.  There may be a slight increase in firmness and change in position that will be an early indication of capsular contracture.  Only by reviewing the preoperative photos can this distinction often be recognized.

Thank you for your question.  Yes, it is possible to tell if there is capsular contracture by photographs, but the standard is really an in-person exam.  Subtle or not so subtle changes to the breast can be attributed to capsular contracture and can be seen with a photo.  However, for example, an implant that is shifted too far in one direction may be due to other factors other than capsular contracture.  Always best to visit with your plastic surgeon in person and have them examine you to determine what is going on.Best of luck to you.