Breast Augmentation: Q&A

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Is It Possible to Have Capsular Contracture After Only 4 Weeks Post Op?

I had sub-muscular silicone impants 4 weeks ago. My left breast has softened nicely, but my right is still hard. Could this be capsular contracture?

7 Doctor Answers | Asked by Houston1149 in Houston, TX
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Early capsular contracture after breast augmentation

The tightness that you are experiencing may be a result of swelling, a hematoma, or early capsular contracture. An examination is absolutely essential in order to minimize early development of capsular contracture. At the 4 week interval, true capsular contracture vs. normal tissue capsule formation, are still viable options. Surgery90210
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Capsular contracture after 4 weeks

For the body to form scar tissue, it usually takes at least 6 weeks , so I doubt you are having a capsular contracture this soon after surgery. More likely is muscle spasm if placed under the muscle or a pocket that is still tight. I think you need to give it some time.
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Breast augmentation at four weeks

It is unlikely that you have a capsular contracture at four weeks post-op from a breast augmentaion. Speak to yoru doctor but you probably have to give it a few months to settle.

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BReast augmentation: one breast is firmer than the other

In general, it is difficult to diagnose a capsular contracture at this point because scar tissue is normally forming at this point up until 6 weeks after surgery. However, it may be easier to diagnose after 6 weeks if it continues to remain firmer than the other side. There may be a variety of other reasons while one breast is firmer than the other which include hematoma, seroma, swelling, size difference, implant volume differences, etc
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Hard breast after 4 weeks...

A firm breast 4 weeks after surgery can be several things: 1- Most commonly it is just tissue tightness. Larger implants in tight pockets will feel very firm for up to 2 months after surgery. The breast on the side of hand dominance( right vs left) will usually soften first, since the patient uses the muscles on that side significantly more. 2- A blood collection (hematoma) can also make the breast feel firm; Bruising would be obvious. 3-  An early capsular... more
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Deep massage can help decrease the chances of capsular contracture

Though still very early, this could be a sign that you are developing capsular contracture. Aggressive massage at this point along with ultrasound therapy can make a big difference. Definitely consult with your surgeon.
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Capsular Contracture After Only 4 Weeks after Breast Augmentation?

Regarding: "Is It Possible to Have Capsular Contracture After Only 4 Weeks Post Op?  I had sub-muscular silicone impants 4 weeks ago. My left breast has softened nicely, but my right is still hard. Could this be capsular contracture?" While capsular contracture is theoretically possible at 1 month after surgery, that is not likely. What is a more plausible explanation is that the implant pocket was under-dissected resulting in a "tight fit". In such cases,... more
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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