Did I have a closed capsulotomy?

It sounds like a capsule around your implant was torn and a contracture was released. Please follow up with your plastic surgeon and if you notice an increase of volume or pain in the area have him or her examine you, just to rule out a hematomaDr Sigler

You need to get this checked out by your surgeon just to make sure everything is al right. An in person examination is required. 

It is certainly possible and the only way to be certain the implant is intact would be to undergo an imaging study. This could include an ultrasound or MRI. Otherwise following up with your plastic surgeon on a regular basis would be best to determine further intervention.

While it's possible that you did indeed do a closed capsulotomy, the other possibility is that of implant rupture. A quick ultrasound of the implant should be performed to rule that possibility out.All the best,

Yes, based on your description, that sounds exactly right. However, it doesn't mean that it was necessarily capsular contracture. There is always some scar tissue around the implant. I would advise you to get checked out in person by your surgeon just to be safe.My best,
Dr. Sheila Nazarian
@drsheilanazarian on Instagram

Thank you for your question. Based on the information provided it does sound like you performed a closed capsulotomy by accident. I believe everyone develops some degree of scar tissue around their implant, which is not a true CC. I would want to make sure the implant has not ruptured and that there is not any blood in the pocket. I would recommend you follow up with your PS. Best of luck

You do not say if your implant is silicone or saline. If it is saline any damage will declare itself by losing volume. Silicone gel integrity should be confirmed by a non-contrast MRI. Unfortunately neither ultrasound nor mammography are definitively able to confirm shell integrity

Thank you for the question. From the narrative provided your assumption seems correct. I would recommend to follow up with your surgeon as it is not possible to determine if there has been any damage to the implant(s) without an in-person evaluation and at a minimum an ultrasound of the implants. Reason being, closed capsulotomies are no longer done as not only are they very painful but also carry a risk of injury to breast tissue and/or rupture of the implants. As a matter of fact, it voids the warranty of most implant manufacturers. Not that yours was done on purpose. So touch base with your surgeon and discuss the possibility of seeing them in person, if they are not willing to see you then seek a second opinion. I hope this helps. Best wishes.

It is possible that you inadvertently ruptured the capsule around the implant which is not concerning. All breasts implants will eventually have a capsule around it due to your body's natural response to any foreign material. Capsular contracture is when that capsule becomes hard and starts tightening which can cause your breast shape to change, harden, and even be painful. I would recommend you at least get a physical examination to make sure there is no obvious injury to your chest or implant. If there is a suspicion that the implant has been damaged, further non-invasive imaging such as an ultrasound can be performed to evaluate the shell.

Thank you very much for your question.Without an in-person examination (and imaging such as an ultrasound to evaluate the implant), it is difficult to say what the popping may have been.  If you only spoke with your surgeon, and didn't get evaluated in person, I recommend asking about that possibility.  Best of luck!