5 1/2 month post op afraid of left implant encapsulated over the muscle (Pohto)

Encapsulation is rare in the first six months after surgery, but I’ve had a few patients developed it. In studies, it is more common above the muscle than below.

If it is capsular contracture (or “cap con”), there are some ultrasound based physical therapy protocols that can soften it. Also, some evidence shows that singulair can be taken by mouth to soften the capsule.

If those options do not work or if you do not want to try them then it is a wait-and-see game. Cap con can stop and stabilize, or it can progress. In rare cases, it can sometimes even seem to reverse itself.

If, in six months, you still have concerns, you may require surgery to remove the capsule. In my practice, I incorporate antibiotics and allograft placement into revision cases to minimize the chances of it coming back. Stay in close touch with your surgeon, since several of the silicone implants come with a warranty for cap con for a few years after surgery.

Hi there,
It could be the beginning of a capsular contracture but you will need a physical exam to confirm this. Hard to tell fully from the photos but your left breast may also be bottoming out vs laterally displaced. Again, a physical exam by the surgeon could help clarify the issue.
All the best