Do I Have Capsular Contracture or is It Still a Muscle Spasm?

I'm two months post op. My implants still sit high, and feel hard. They also look like they have a hump from a profile view, which worries me. My implants are not moving down into their pockets at all! I've been doing massages to move the implant and reduce scar tissue from forming and started taking vitamine E. My PS says its muscle spasm which is causing my implants to stay high on my chest, but could it be capsular contracture? From small A to small D, submuscular, 460cc, silicone

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5 Doctor Answers | Asked by Natasia B.

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Muscle "spasm" is usually NOT a persistent cause of firmness 2 months post-op.

With due respect to my colleagues and your own plastic surgeon, spasms are usually intermittent and uncommon 2 months post-op. Though capsular contracture is unusual this early after surgery, I have seen it on a few occasions, and have thus been "forced" to accept early capsular contracture as reality. High, tight, and "hard" sounds like capsular contracture to me, even if unusually early. Did you have significant bruising/bleeding in your early post-op period? Did your... more

High riding implants

This could be capsule and I would wear a velcro bra strap over the top of your breast to try and get them to settle down more.

Capsular contracture?

At two months it is a bit early for a capsule to develop. You should give it 3-4 months at a minimum for the implants to settle.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Hello

It is too early to be capsular contraction. In our practice we give our patients a breast band to help push the implants down. Every practice is different, with time the swelling and implants will fall into place it just needs a little help. Make sure you see your PS to get the options to help make that happen. The implants always start off hard in the beginning and with time they will become softer.

Capsular contracture does not occur at 2 months.

It is very unlikely that firm breasts at 2 months are from capsular contracture. The capsule is definitely forming but the cells that cause contracture would not be established enough to create the problem.