Can capsular contracture happen 4 years post op? Are there other causes for change in asymmetry and tightness on one side?

It is not uncommon for capsular contracture to develop several years out from Breast augmentation and even though there are other causes of asymmetry it is likely the cause. But the best next step would be to go and see your plastic surgeon so they can evaluate you to determine just what is going on. Good luck.

Yes capsular contracture can certainly happen after 4 years and cause asymmetry and tightness. You should also be evaluated by physical examination, possibly an MRI to look for possible implant rupture which can be a possible cause for capsular contracture. Good luck

Thank you for your question and I am sorry to hear of the onset of your symptoms.  Unfortunately capsular contracture is an on-going risk after breast augmentation surgery and can develops years or decades after placement.  If you have not suffered any injury to your breast and the onset of symptoms have been gradual and progressive it is most likely a contracture taking place.  Best to see your surgeon for an in-person evaluation for diagnosis confirmation and discussion of treatment options.  Hope this helps.

Unfortunately, yes, this can happen four years out. Most likely it is some form of capsular contracture, though implant rupture is another potential. It could even be both. The important thing is that you schedule to visit with your plastic surgeon to examine you in person as this is the only way to determine for sure what is going on.Best of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA

yes. and yes.  Unfortunately cap cons can happen as early as 6 months post op.  There are many potential reasons and causes.  one of the most common I have found is smoking.  Weight loss and some metabolic disorders can set the conditions for cap con to occur sometimes.  More history would be needed to help you figure this out.  Also, I recommend you re-visit your ps to better help with your particular issue.  Hope this helps.Dr VasishtSouth Shore Plastic Surgery

It sounds like you have a capsular contracture until proven otherwise. You need to be seen in person to be evaluated

Yes, capsular contracture can happen at any time. An in person evaluation is the way to figure this out. 

 Unfortunately capsular contracture can occur in a delayed fashion. It is important to be evaluated by your surgeon to ensure that the implants are intact and nothing else is going on. Sometimes you may need a revision to soften the capsular contracture are or even an implant exchange if there is concern for the implant integrity. 

Yes. Capsular contracture is a lifetime risk. While late onset is far less common, it certainly happens. You should see your surgeon to see if there are any other associated issues such as implant rupture (if gel- if saline, you would know!).

Unfortunately it is possible to develop capsular contracture several years following surgery.  Most contractures will occur in the first two years but late contractures are certainly possible.  You should consult with a board certified plastic surgeon to be evaluated and to discuss your treatment options.