Does Capsular Contracture Make You Feel Ill?

I was told weeks ago that I need to have more breast surgery. I am starting to feel very ill, but with no pain. My implants, filled to 700 cc, are getting very hard. Does capsular contracture make you feel ill inside?


Doctor Answers 8

Signs of Capsular Contracture

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One of the most common problems is breast capsular #contracture or the development of thickening, and contracture of the capsule that exists around the breast implants. Severe capsule contracture probably occurs in less than 15% of augmentation patients. Every woman has a breast capsule around their implant and this is a normal phenomenon. The capsule itself could be as thin as Saran Wrap but may also become calcified and thickened. As it thickens and shrinks, the patient may develop a feeling a firmness of the breasts and in its worst situation, the breast may become painful and abnormal in appearance, achieving a very round, hard, and uneven appearance. There may be distortion and possible breakage and leakage of an older implant, but may also include a newer #implant. Nicotine users, such as smokers, have up to a 30x increased risk of #capsular contracture. Saline implants may deflate spontaneously. When the patient has significant #symptoms, complete or partial leakage of their saline implant, or concerns regarding silicone leakage, it is recommended that the implant is removed and exchanged. Frequently, this is performed on both sides depending upon the age of the implant. Capsulotomy or opening of the capsule may be required or frequently capsulectomy, which is removal of the scarred capsule, is recommended to ensure adequate pocket dimensions. New implants may then be placed in the same existing position or may undergo a change of #placement frequently from submammary to subpectoral position and, on occasion, the other way around.

Does Capsular Contracture Make You Feel Ill?

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Capsular contracture is when there is abnormal scarring around your implant, tightening it and causing the breast to feel firm. The breast may also look abnormally round or elevated. This can sometimes be treated without surgery, but if the problem persists, you may need surgery. I recommend you go back to your surgeon to have your breast checked out as soon as you can. Best of luck. It is associated with pain as well, but not really with a general "ill" feeling. However, you may be feeling ill due to the stress you're experiencing.

Please see your surgeon as soon as you can for an evaluation. Best of luck.

Should not, but possible

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One of the leading theories of cc is that a low grade, indolent infection causes the vigorous scar tissue that leads to contracture.  If this is true in your case and it is removed you may feel better.  Also, the contracture can cause discomfort and that could drag you down.


Not Usually

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Hi there-

Capsular contracture can be uncomfortable, and when it progresses will certainly cause deformity and detract from the results of Breast Augmentation, but should not cause feelings of illness.

I would recommend that you see your family doctor or gynecologist to be sure something else isn't going on for which you need treatment- then you'll be able to pursue the necessary improvement in your breasts with greater peace of mind.

Good luck.

Capsule contracture should not cause illness

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Capsule contracture after breast augmentation should not cause any illness, however if the implants are very firm and causing stress and worry they could cause you to feel unwell. You have a very full augmentation and the rounding up and hardness can be a lot to bear. Pain or a drawing sensation is more common.

A breast infection can cause you to be ill and infection will be associated by breast redness, tenderness, low grade fever, and fatigue. If you do feel very ill it is well worth a trip to the doctor to discuss how you are feeling. I suggest a call to your plastic surgeon, and a visit to your family doctor for a checkup.

Concerning capsule contracture, surgery is effective in reducing the capsule less than 50% of the time. The need for more surgery should be weighed against the potential for an improved outcome. You may have to start asking yourself if the hardness is something you can live with if it continues or recurs, and what the options might be if you cannot.

Best of luck,


Generally no, but...

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it depends on why you are developing capsular contractures. Infections are a cause of spontaneous hardening. In fact, bacteria is often cultured in the fluid surrounding the implant in cases of capsular contracture. While the capsular contacture as a clinical condition is merely a hardening due to the shrinking of the capsule around the implant, the real question is if there is anything instigating this process.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Capsules can cause pain but not illness

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A capsular contracture can cause pain and hardness but these are feelings restricted to the breast.  Overall bad feelings must be from another cause like an illness.  Check with your regular doctor for an evaluation.

No, capsules are local problems

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If you feel ill, you should see your general doctor. Capsules are locally occuring problems that do not have any general physical manifestations. Your breasts may hurt and feel hard, but you will not feel ill because of it.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.