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

Dear corrinenc,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

It is common for the breasts to heal at different rates. However at 5 1/2 months post op you should not be experiencing pain or tightness regularly. It's best to return to your surgeon for an evaluation and discussion of your concerns.

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.