Does this look like capsular contracture? 9 months in (Photo)

First question to be answered is, are your breast implants above or below the muscle? The top of the left breast shows the edge of the implant in the upper one-third. This almost always indicates a capsular contracture, but most importantly, pain and hardness are the two most common signs. I agree with the previous responder that an in-person evaluation will give you the quickest answer.At first glance, I would say you have a left sided capsular contracture, and more than likely a Baker III. That means both you and your surgeon agree that your breast is hard. A second eval from a Board Certified plastic surgeon would be advisable. The sidebar comment is that, if you are getting Singular as a treatment for possible capsular contracture, then you're wasting your time since Singular has a terrible record and has been "Black Boxed" by the FDA. Using zifurlukast (Accolate), an AstraZeneca product, has the greatest chance of softening your breast. However, a more modern 21st Century approach would be to find a Board Certified plastic surgeon with experience in PRP treatment for capsular contracture. If the PRP is transmitted into your tissue using a collagenizer, this will allow you to get the treatment without any incisions or surgery. Using PRP and Accolate is the simplest, least painful and least chance of recurring encapsulation.

it's not possible to confirm the presence or extent of a capsular contractures without an actual physical examination. Medications such as singular can reduce the risk, or even reverse capsules, so it is very reasonable to begin with medical treatment rather than rushing into surgery.

To determine if of capsular contracture is present, an in person examine is usually necessary, unless it is in the advanced stages. Capsular contracture is a thickened scar that forms around the implant, making it firm and distorting its shape. Sometimes it can be painful. The thicker the capsule, the more the implant is lifted above the natural breast footprint and the more compressed appearance of the breast. Capsules can form anywhere from 3 months or up to 10 years after surgery. From your photo, it doesn’t appear you have a capsular contracture, but an exam must be done to thoroughly evaluate if cap con is present. Thank you and all the best!

Obviously your doc is conflicted. The problem I have with those docs is a matter of transparency: if the doc doesn't see anything wrong, or specifically asymmetric, then the doc is either incompetent (truly can't discern the issue) or dishonest (sees it but will not acknowledge it), as harsh as that sounds. So why did he put you on (I presume) Singulair? Sounds like the issue with doc is the latter. Regardless, the bottom line is you have a potentially correctable issue and you should, unfortunately, find a new surgeon.

Capsular contracture is a complication that can occur after breast augmentation surgery, when the scar tissue around a breast implant tightens and hardens: ExplanationThe body forms a thin, pliable, and translucent capsule of scar tissue around a breast implant as a normal response to the foreign object. However, in capsular contracture, the capsule thickens and tightens, squeezing the implant and causing the breast to feel hard and painful, and look abnormal. SeverityCapsular contracture can range in severity from mild to severe. The Baker Scale is used to grade the severity of capsular contracture: Grade I: No contracture or asymptomatic Grade II: Mild contracture that is painless and almost undetectable Grade III: Moderate contracture with some firmness and discomfort Grade IV: Severe contracture that is painful and can be diagnosed by observation alone PrevalenceAbout one in six women who have breast augmentation surgery will experience some degree of capsular contracture. CauseCapsular contracture is caused by anything that leads to inflammation of the capsule. TreatmentPlastic surgeons can perform breast augmentation revision procedures to treat capsular contracture.

Based on when posted photo with no before photos posted and no additional views very hard over the real self Internet to give an accurate description unless one breast feels much firmer or harder than the other breast hard to give a diagnosis of capsule contracture. Best is in person, physical, examination, ultrasound of breast, or virtual consultation. If there is a possible capsule contracture revision surgery should be done at six months following the first surgery with an open capsulotomy capsulectomy technique. Fee $8000-$20,000. Virtual consult with.