Firm implant. Could this be capsular contracture?

Question

Hello, I have had silicone implants since 2014 within the last month one has become firmer than the other. Sometimes it’s just as soft as the other and other times it’s harder. When I lay down it becomes very firm which is new. There is no pain and it’s not completely hard just firmer than the other. Could this be capsular contracture? Thank you any advice is great

J. Jason Wendel, MD, FACS · Answer

Thank you for your question! Often times implant firmness can be a result of a capsular contracture. It can also cause the implant to be higher and/or a different shape. A capsular contracture occurs when the scar tissue surrounding the implant becomes hard and contracts. This can be painless or painful. Capsular contractures have after often times believed to be caused from genetics, a hematoma/seroma, or an infection/Biofilm. An implant removal and capsulectomy is necessary to address a capsular contracture. The capsulectomy removes the hard, contracted scar tissue surrounding the implant. To be sure, see two or more experienced, board-certified plastic surgeons in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have Implant Removal with Capsulectomy. I hope this is helpful.

Shaher W. Khan, MD · Answer

Hello, thank you for your question. There is a possibility that you could have capsular contracture or you could possibly have a ruptured implant. The best test to tell is to have an MRI, which would show rupture. Any change in physical exam is concerning. Breast implants are not meant to be in the body forever.

Daniel Barrett, MD · Answer

Dear Jubilant379699,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Firm implant. Could this be capsular contracture?

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Firm implant. Could this be capsular contracture?

Answers (3)

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Our mission is to create a world where every investment in modern beauty is Worth It.