Can a Hickey Cause Capsular Contracture?

Question

I am 7 weeks post op from breast augmentation. It didn't seem like he was sucking that hard but now I have a hickey. My incisions were done under my breast.

Ryan Neinstein, MD, FRCSC · Answer

I think that would be extremely rare and really there is no cause for this as I cant imagine a situation that there was enough of a bleed in the pocket

Jake Lim, MBBS, FRACS · Answer

It is unlikely to cause capsular contracture. It is also too early for capsular contracture. You should see your PS for a review. All the best.

Robert L. Kraft, MD, FACS · Answer

Take it easy, there! It should not cause a capsule but could traumatize the healing. You need to be aware of any soreness, swelling, redness or pain. If you have those symptoms, then you should see your plastic surgeon and explain exactly what happened.

Joseph L. Grzeskiewicz, MD, FACS · Answer

While the superficial bruise from a "hickey" most likely won't affect the capsule, the one thing that I would think about is whether there is any increased swelling or soreness in the breast itself. If the breast was handled roughly that soon after surgery, the capsule could still be damaged or torn, and this could lead to some bleeding into the capsule which could then stimulate capsule contracture. If there is any soreness of the breast or firmness, it is best to have it checked by your surgeon.

Adrian Knox, MBBS, FRACS · Answer

Hello,

	If the mark you have is definitely from suction then it's hard to see how you could develop a contracture - I think you can relax! But, just be sure that you are not mistaking it for some other deeper problem ie something coming up from deep rather than a skin mark from a partner. If in doubt, check it out!

	Best Wishes

Jeffrey Zwiren, MD · Answer

There is no possibly that this type of activity could cause a capsular contracture.   It is also unlikely that you would develop a capsular contracture this early In your post operative course.

Kevin Ho, MBBS, FRACS · Answer

Interesting question. No you won't get capsular contracture from a hickey.

	Regards,

	Dr Kevin Ho

Tom J. Pousti, MD · Answer

Thank you for the unusual question. A superficial bruise (hickey) will not cause capsular contracture. Best wishes.

Douglas McManamny, MBBS, FRACS (retired) · Answer

Hi,

	Although we're not certain as to precisely what causes capsular contracture, we think some patients form more dense fibrous tissue than others. The recognized triggers for forming even more fibrous tissue than usual include silicone gel leakage, infection and haematoma formation.

	I don't recall vigorous oral manipulation of the breast being included in the list of causes of capsular contracture. I don't think you need to worry about the hickey.

Vincent D. Lepore, MD (retired) · Answer

It would be very unlikely for a "hickey" to cause a breast capsular contracture, especially if it has been seven weeks since your breast augmentation. However, if you are concerned check with your surgeon. Best wishes.

Can a Hickey Cause Capsular Contracture?

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