Could I have capsular contracture even though my breast does not feel hard?

Question

It has been 5 months since my BA. My left breast dropped quickly and nicely. However, my right breast was higher n firmer since day one post op. My left breast still sits lower. My concern is that every time I make a forceful movement with my right hand/arm or during exercise, I feel pressure in my breast. If I bend over, I feel the pressure. I cannot sleep on my tummy either because after a few minutes, I begin to feel like a tight burning sensation. Could this be capsular contracture?

M. Scott Haydon, MD · Answer

Thanks for your question. Not knowing the size or type of your implants makes this a little more difficult. If the muscle is not completely released inferiorly then the implant cannot drop into its new position and will ride high. If the overall pocket is very tight because the implant is large then this too can cause a firm feeling. These would be more likely than a contracture, but that is certainly a possibility. Hopefully your surgeon can explain things. Best of luck!

Vincent N. Zubowicz, MD · Answer

A mild capsular contracture can feel relatively soft but the volume of the implant will be artificially supported making it appear to ride high. You indeed could have an emerging contracture. Keep in touch with your surgeon.

Larry S. Nichter, MD, MS, FACS · Answer

Without photos or an exam, this would be hard to tell as your description has both elements of a possible contracture vs no contracture just a tight pocket. Your plastic surgeon would know best. If still concerned, seek a second opinion

Ryan Neinstein, MD, FRCSC · Answer

Yes it is possible that you are having an early cap con which is rare or the muscle may not have been entirely released and is holding the implant up, see your surgeon for a thorough evaluation

Terrence Murphy, MD · Answer

By definition implants with capsular contracture feel firmer than the opposite side.  Sometimes the capsules are just different.  Maybe the capsule on that side is higher.  Ask your surgeon to go over these issues with you.  A release on the right side may be becessary even if it doesn't have a contracture.

Remus Repta, MD · Answer

Dear Vicky,Although it is possible to get a capsule contracture early and not have it change along the way it is more likely that the pocket was made a little too small or the muscle was under released.  Have your plastic surgeon take a look at you since pocket revision of your type is often fairly straight forward.All the best,Dr. Remus Repta

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question.  Capsular contraction is unlikely of the breast implant itself does not feel hard.It sounds as though your having a problem with pectoralis contraction and possibly a small implant pocket.In examination is necessary.  Please see her plastic surgeon for an exam If the pectoralis muscle has not been fully detached it may be holding the implant high and causing her symptoms.  This can typically be easily revised.

Michael S. Hopkins, MD (retired) · Answer

It is a little early for a symptomatic capsular contracture, but it is certainly possible.  There a variety of other reasons, including incomplete muscle release, too small of a pocket, etc. that could be a cause of your symptoms.  A physical exam is necessary to make a good diagnosis.  You contact your surgeon to be seen and evaluated and to decide on an appropriate course of action.  Best of luck.

Could I have capsular contracture even though my breast does not feel hard?

Answers (8)

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