Capsular Contracture Disappeared After Sleeping on my Side with Arm Extended?

Most Plastic Surgeons currently treat capsular contracture surgically, but in the past a proceedure called "closed capsulotomy" was commonly performed. This entailed sqeezing the breast until the capsule released (or tore). This fell out of favor since the implants can also rupture with so much pressure.

Since your implants are saline, IF they rupured, you should notice a gradual loss of volume on that side.I suggest that you see a board certified Plastic Surgeon to evaluate your breast implants and the contracture.

The intense scarring reaction referred to as a CONTRACTURE is VERY unlikely to resolve merely from sleeping on the breast. The softening noted is more likely to be due to a leaking implant. This will result in a smaller breast on that side in a few days time.

Relief of contractures requires a surgical cutting of the scar (OPEN CAPSULOTOMY) or partial or complete removal of the scar (CAPSULECTOMY).

I would refer you to your Plastic surgeon or if you moved to one referred by friends you trust.

Good Luck.

Peter A Aldea, MD
Memphis, TN

With a capsular contracture and a high round breast implant, is seems unlikely to us that you could release the capsule and contracture just by sleeping in a different position. Miracles can happen, but our experience with capsules is they can be very difficult to loosen. If the implant is leaking, then you will eventually notice the volume loss (our bet), and with saline you can replace at your leisure. The bra idea will not make a difference either way, so do what is comfortable.