I have capsular contracture in my left breast. Can I help the pain by applying hot or cold compress?

Question

The implants are 15 yrs old. I know to get them redone, but can I help the pain by applying hot or cold compress?

Vincent N. Zubowicz, MD · Answer

Capsular contractures almost always painless. If you are having discomfort it is unlikely that cold or heat treatment would penetrate enough to make a difference. Anti-inflammatories probably will help until the problem has been surgically treated.

Alexander G. Nein, MD, MS, FACS · Answer

The only real reliable solution to capsular contracture is surgical removal of the capsule. There are a few other nonsurgical techniques (medication and ultrasound) that can help in some cases. In the short term, you may consider tylenol or motrin or hot/cold compresses. If any of these work that would be great but at best they are only temporary measures and they won't hurt provided that you you don't have any medical issues that would prevent you from taking the medications and you stay within the recommended doses. Ultimately, you will however need surgery.Seek the consultation of a plastic surgeon certified by the
American Board of Plastic Surgery. They have a website listing all the
certified plastic surgeons. Members of the American Society of Aesthetic
Plastic Surgery will all be board certified in plastic surgery and have
demonstrated an interest and competence in cosmetic plastic surgery as well.

Donald W. Kress, MD, FACS · Answer

I see painful capsular contractures all the time. I agree with the other docs, try hot, try cold, try ibuprofen, whatever makes you more comfortable. The only effective non-surgical treatment I've seen is the Aspen ultrasound system from Florida. I did one of the first studies using that system and found it 80%+ effective on all but the most severe capsular contractures. For the most severe, surgery is the only option.

Raymond Jean, MD · Answer

Pain caused by severe or Grade IV capsular contracture is only effectively treated with surgery for removal or the capsule and implant.  Motrin, Tylenol may be of some help, but surgery to remove the implant and capsule should be curative.  Best of luck.  Make sure your surgery is performed by a board certified plastic surgeon.  Find one at ASPS.

Matthew H. Steele, MD · Answer

Thank you for your question.  I'm sorry to hear about your capsule contracture. You can certainly try either type of compress, but I'm not aware of any evidence that suggests this is effective. It surely will not hurt your situation.  You may consider some anti-inflammatory medications such as ibuprofen/alleve as well.  Best to be seen by a board certified surgeon for in-person evaluation to discuss possible surgical options.  Good luck.

I have capsular contracture in my left breast. Can I help the pain by applying hot or cold compress?

Answers (5)

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