What are the chances for capsular contraction reoccurrence?

Doctor Answers 5

What Are Chances of Capsular Contracture?

Every subsequent surgery you have on your breasts can increase the chances of a capsule recurring. It is difficult to predict, but those who have a tendency to forming capsules tend to have them happen again even after revisional surgeries to release the capsule. I would recommend discussing your options with your surgeon.


San Antonio Plastic Surgeon
4.6 out of 5 stars 65 reviews

About Capsular Contracture

Capsular Contraction is the scar tissue that forms around the implant is a natural response to a foreign object implanted in the body. The capsule can tighten and squeeze the implant making it firm. This is referred to as capsular contracture. This firmness (breast capsule) can range from slight to very hard. The firmest ones can cause varying degrees of discomfort or pain. Capsular contracture can occur in one breast or both.

Those experiencing this are candidates for Breast Revision Surgery. An implant revision or exchange intends to replace the damaged implants with new silicone or saline filled implants with newer technology. econdary breast surgery can be complex and needs to be done by an experienced plastic surgeon. The specific procedure to be performed will depend on the complications experienced and the condition of the implants.
If you are experiencing signs of Capsular Contracture, contact your Plastic Surgeon for an exam.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 96 reviews

There is very high recurrence rate of capsular contracture

Recurrence rate for capsular contracture approaches 100 %.  In other words it is high and keeps on getting higher with subsequent surgeries of breasts.

Vasdev Rai, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 22 reviews

What are the chances for capsular contraction reoccurrence?

Thank you for writing to RealSelf.
The simple answer is that possibility of recurrence of capsular contracture is high unless something different is done at the time of the surgical treatment of the condition such as a different type of implant or a different plane of the new pocket for placement of the new implant. Medical treatment with anti-inflammatory agents such as Accolate may reduce the possibility of recurrence after surgical treatment. Please ask you surgeon about this 'off label' treatment option.

Gurmander Singh Kohli, MD, FACS
Boston Plastic Surgeon
5.0 out of 5 stars 2 reviews

Capsular contracture recurrence

The chances of capsular contracture recurrence after surgical treatment varies upon the cause of the orignal problem and the exact treatment.  "Closed capsulotomy" has been shown to have a 50% recurrence rate and for that reason, and others, it is seldom performed.  Open capsulotomy and capsulectomy, sometimes with pocket changes and implant exchange are other methods of treatment. The exact treatment can only be advised after an examination and formal consult.

John Dean, MD
Baton Rouge Plastic Surgeon
4.2 out of 5 stars 17 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.