Fixing Capsular Contracture?

I had breast implants 9 years ago, I was evaluated by a plastic surgeon 3 years ago who told me I was in stage 2 of capsular contraction and I would need to have the implants removed/replaced within the next few years.

Since then the right breast has become very hard, I have aching in my chest and back, my chiropractor has suggested it is scar tissue build up. What is the procedure to remove then replace the implants and where do I go to find a surgeon who can do this procedure. How much is this kind of procedure?

Doctor Answers 4

How to Fix Capsular Contracture

This is a condition where the capsule around the implant thickens and squeezes the implant making it hard and often changing the shape and position of the implant. Effective treatment of the capsule frequently involves completely removal of the capsule (capsulectomy), and occasional incisions in the capsule may be somewhat helpful (capsulotomy). At times it is necessary to change the position of the implant, either above or below the muscle, depending upon the initial position, changing the implants themselves and, on occasion, the use of Acellular Dermal Matrix (ADM) may be required to prevent continued problems.
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Orange County Plastic Surgeon
4.9 out of 5 stars 154 reviews

Breast implant capsular contracture

Typically in capsular contracture, the breast hardens and becomes pushed up and may be painful. A medicine called Accolate can help improve contracture in some patients. If the condition is severe or does not improve with Accolate, surgery to remove the hardening and replace the implant is your best option. Taking Accolate after such a surgery can decrease your chances for it happening again. A new material called strattice has shown some evidence that it may prevent hardening when sewn in the implant pocket.

Michael Horn, MD
Chicago Plastic Surgeon
4.4 out of 5 stars 54 reviews

You likely need a capsulectomy or removal of capsule


It sounds like you have pretty severe capsular contracture. It is likely (and of course difficult for me to know without examining you) that you need this scar capsule removed surgically. Do you have silicone gel implants? How quickly did the capsule form after your original or last breast operation?

John P. Di Saia, MD
Orange Plastic Surgeon
5.0 out of 5 stars 27 reviews

It depends on how extensive

You would need to be evaluated by a board-certified plastic surgeon first to see what would be needed to give you an improvement. Only then could they discuss the anticipated costs of the procedure. I would recommend that you start with seeing a plastic surgeon to go over your options.

Dr Edwards

Michael C. Edwards, MD, FACS
Las Vegas Plastic Surgeon
5.0 out of 5 stars 35 reviews

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.