Capsular Formation?

I had breast augment. 41 days ago (300cc, silicone round, dual plane). My right breast looks like it has obtained correct position and feels soft. My left breast feels harder, still sits higher than right breast, the fold has 1.5-2cm difference in position compared to right breast fold. When I squeeze my breast at the bottom, right implant moves upwards freely yet left implant feels like something is obstracting the movement. Could this be capsule formation so soon after surgery? Will it lower?

Doctor Answers 6

Breast augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Every breast implant has a capsule that forms around it. One side may have a slightly thicker capsule than the other which gives it the different feel and mobility. It's still early so would give it time and follow your surgeons directions and hopefully the left breast will loosen up with time.

Beverly Hills Plastic Surgeon
4.6 out of 5 stars 106 reviews

Can I have an early capsular contracture?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is possible to develope a contracture this early.  However, it is also very possible that the implants are just not jet fixed in their final position.  At this stage, the firmness may still be inflammation.  I would recommend downward massage, no bra and another month before considering any intervention on a capsule.

Neal Goldberg, MD
Westchester Plastic Surgeon

Asymmetry after breast augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is possible to have some asymmetry in the position of the implants after breast augmentation, especially after subpectoral placement of breast implants, and often this resolves over time. You should consult with your plastic surgeon for examination to determine if there is early development of capsular contracture and if any intervention is indicated.

Olivia Hutchinson, MD
New York Plastic Surgeon

Capsular Formation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It's suggested you be evaluated by your plastic surgeon to learn more.  

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. 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 r#ecommended 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.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Possible capsule contracture

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
41 days postoperatively is a relatively early time frame for the development of a capsule contracture. It is possible however. It is also possible that your implant has not fully situated itself. Under the direction of your surgeon it may help to begin massaging the breast particularly in a downward direction. After waiting 3 months if there is no improvement then it would be reasonable to consider revisional surgery. Good luck

John J. Edney, MD
Omaha Plastic Surgeon
4.8 out of 5 stars 133 reviews

Capsular Contracture?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thank you for the question and picture.

Although it is possible to develop encapsulation of the breast implants very early after surgery some degree of breast asymmetry (by palpation and/or implant position)   is to be expected at this stage your recovery.

Encapsulation refers to  abnormal thickening  of the breast implant capsule (also  referred to as capsular  contraction)  that can cause hardening of the breasts, displacement of the breast implants, and significant discomfort/pain.

It would behoove you to be examined in person by your surgeon for accurate diagnosis  and advice.

I hope this helps.

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.