Breast tenderness - what can be done to help stop capsular contracture from getting worse?

Capsular contracture remains the most common complication of breast augmentation, with rates reported between 0.5% and 30%. Despite extensive research, the cause of capsular contracture remains unknown. Two main theories address the underlying cause: subclinical infection and hypertrophic scarring. Hypertrophic scarring is thought to be secondary to a hematoma, seroma, or silicone gel bleed.
Surgical placement of the prosthesis in a retropectoral pocket has repeatedly been proved to decrease the risk of capsular contracture. This has led many surgeons to preferentially use the subpectoral plane.

While pain is a possible symptom of capsular contracture, it is not a direct indicator of what may be occurring. I encourage you to visit with your surgeon for an evaluation. She/He will provide direction based on your discussion and the results of the assessment.

If the old capsules were removed, you will have pain in that area initially from surgery. You also went larger which does stretch your tissue more. Oral Accolate could be added to help minimize the risk for capsule formation. Please discuss this with your surgeon.