Although capsular contractures following breast augmentation can occur just about any time, most women start having symptoms around three months after their breast implant surgery. This is because it takes some time for a capsule to form and then to scar down (contracture).
Capsular Contracture is a condition in which the capsule surrounding the implant thickens and contracts, squeezing the implant making it overly firm or hard and often changing the shape and position of the implant. As the capsule contracts it moves the implant further up your chest wall making upper portion of your breast too large and unshapely. It is more far more common in nicotine users (e.g. smoking, vaping or nicotine gum or patches).
Thank you for your question. Capsular contracture can reoccur after a capsulectomy. You chance of recurrence is around 22%. Having the Impants placed above the muscle also increases your risk. We still have no hard evidence as to why it occurs. If you have Mentor or Sientra implants , you may want to look into their warranty against capsular contracture. Unfortunately Allergan does not offer that same warranty. Best of luck with your recovery.
Front and side view pictures would have been very helpful.
Capsule contracture occurs naturally up to one year, when scar maturity takes place. That is the reason why I instruct all my breasts augmentation patients to perform implants displacement massage.
However, capsule contracture can occur also from bleeding or infection. Sub clinical infection from dental work, colonoscopy etc can happen too, creating biofilm.
When the capsule contracture is thin , only capsulotomy (scar release ) is required. When the capsule is thick and inflamed, capsulectomy ( scar excision ) and implant replacement is required for best outcome.
In your situation, I would recommend implants displacement massage for 3-4 months and hopefully, it will resolve the hardening and pain.
It is always a good idea to see your surgeon , whenever you have a problem.
All the best,
Sorry you are experiencing this. We are still not sure what exactly causes capsular contracture. Fortunately, at this time, there is no medical harm to your body. Most people have surgery to fix the cosmetic defect it may cause. At it worst, it may cause pain. If you're not at a position to have them operated on, it is okay to leave for now unless the pain gets worst. Good luck.
A capsular contracture can develop without a known cause. There are several theories as to why they may occur. Treatment usually means removing the old implant and capsule and placing a new implant. Pain or implant distortion are usually the reasons that patients have them removed.
Without in in person examination, the diagnosis of capsular contracture cannot be made. The shooting pains that you have, may be related to the surgery and be of nerve origin but not necessarily causative or related to capsular contracture. If you do have bilateral Capsular Contracture this early in the postoperative phase, I would recommend you consider moving your implants to the sub muscular position and maybe using an aggressively textured implant surface. Good luck.