Diagnosis of capsular contracture from a photo is challenging.
After already undergoing revision surgery once for severe
capsular contracture, of course you’re worried about having to go through that
again! Although it’s hard to tell from a photo whether your CC has returned,
there are a few things that you can keep in mind. First, the development of a
scar tissue capsule around the implant is completely normal. If there’s some
mild firmness, that may be what you feel. What’s not normal is having so much
scar tissue that your breast feels rigid or painful, or your implant looks
displaced. There are four grades of capsular contracture, and only the severest
forms require surgery. Do follow up with your surgeon if you have any concerns.
It is difficult to say whether or not you have a capsular contracture without performing a physical exam.
Capsular contracture surgery and examination
It is difficult to tell whether the issue is related to normal breast changes or capsular contracture. Our office specializes in capsular contracture surgery and a first step would be to obtain an examination and measure tensimetry.
Raffy Karamanoukian MD FACS