I noticed 2 days ago that my left breast feels harder and tighter that the right. Capsular contracture? (photo)
Doctor Answers (9)
Your breasts are still settling
Capsular contracture is when there is abnormal scarring around your implant, tightening it and causing the breast to feel firm. The breast may also look abnormally round or elevated. This can sometimes be treated without surgery, but if the problem persists, you may need surgery. I recommend you go back to your surgeon to have your breast checked out as soon as you can. Best of luck.However, for a better assessment of your concern, please see your plastic surgeon for a physical examination.
I am sorry to hear about the concerns you have. Unfortunately, online consultants will not give much specific help to you given that it is very difficult to diagnose encapsulation without physical examination. In other words, a board certified plastic surgeon can easily detect and determine if you have capsular contracture after physical examination. Encapsulation can vary depending on the severity and complexity of the case. If you experience some discomfort and feel abnormal firmness, it may indicate that you have excessive scar tissue around the implants. if this is the case, removal of the breast implants, conversion to a sub muscular (dual plane position), and possibly use of acellular dermal matrix may be indicated. You may find the attached link, dedicated to revisionary breast surgery, helpful to you. Best wishes.
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Do I have a capsular contracture?
I DO NOT think this is a case of contracture , it is still very soon but you have to do things now is this early stage to prevent any deformtaion talk with your PS an sak him is you do need to wear an elastic band wich is indispensable for best resultws in this type of breast for the first 3 weeks 24 if hours a day .IT Looks you had some type of tubular bresast and if those implants werte located behind ,muscle this is just a must !
if implants are not located behind muscle then while the mastoplasty was performed you need to have radiation of the breast tissue and to increase the inferior fold to allow the implant in the new fold
I would advise you contact the surgeon who performed your breast augmentation in order to determine if you do have capsular contracture or not. With out proper examination or pictures it will be difficult for any one to diagnose this problem on you.
Jaime Perez MD
Plastic Surgery Center of Tampa
Capsular Contracture can only be definitively diagnosed on examination
Please don't spend time and energy worrying and asking about this concern online- without examining you none of us will be able to answer your question with any confidence, and our answers will only cause you unnecessary distress (if we say it looks like you have a problem) or give you a false sense of security (if we reassure you and this reassurance delays your communication with your surgeon). I promise your surgeon would be sad to know that you expressed your concerns to other surgeons online before calling them, and would hate to think that their relationship with you may have been weakened by this.
The very best advice I could give you is that you should share all concerns and questions with the surgeon you chose to do your procedure as early as possible. They are in the best position to say (based on what they know about the details of your operation, the examination they can perform on you, and their knowledge of the postoperative course most common in their patients) what exactly is going on and what, if anything should be done about it.
Please contact your surgeon asap.
At 3-4 weeks post-op, this cannot be a capsular contracture. Submuscular implants can feel hard on certain days because the pec muscle is tight around them. It is doubtful that you have a hematoma or seroma because the look symmetric, but only a good physical exam by your PS can determine if this is true. As they drop over the next 2-3 months, the will project more and look more natural. Be sure to discuss your concerns with your PS.
A number of things are going on. First both sides always act differently which is totally normal. It takes about 3 months for things to settle and usually become symmetric. Its very rare to have a capsule early, much more common for fluid or blood to accumulate and I like to aggresively drain this. See your PS
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.