Surgeon Squeezed my Encapsulated Breast. 16 Months Post Op. Is This Ok?

16 mtg postop.Dr.said he did not like how high my right breast was sitting or howhard it felt. He was squeezing the tighter breast and told me it was encapsulated with scar tissue? He was squeezing a little harder when I experienced a loud sound. I then felt very light headed. said he never had scar tissue break so easily. Should I have surgery performed to remove the capsule our just assume that the breaking took care if out? pain after the squeezing.could I be bleeding inside? 2nd aug/450cc.

Doctor Answers 7

Closed Capsulotomy can be Dangerous

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If you are lucky and your breasts are soft you don't have to do anything else. Unfortunately, the capsular contracture will probably recur. The Pop was your capsule tearing/rupturing.

Closed capsulotomy procedures are not recommended as they can cause implant rupture, internal bleeding, distortion and other complications. Off label usage of Singulair may be your best bet and if this does not work capsulectomy, change of implant and its pocket and other options are more acceptable techniques to deal with your problem. Discuss with a board certified plastic surgeon.

Treatment of Breast Implant Encapsulation?

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Thank you for the question.

Breast implant encapsulation is a frustrating problem that can occur after breast augmentation surgery.  Based on the severity of the encapsulation,  treatment options will vary. If breast implant encapsulation occurs, some surgeons would recommend treatment with  anti-inflammatory such as Accolate or Singulair.

If, at this point, your breasts are soft and the impulsive and good position I would suggest that you avoid any surgery. However, if you have silicone gel breast implants in place you may want to obtain an MRI study to rule out leakage of the silicone gel.  

If breast implant encapsulation occurs, some surgeons would recommend treatment with  anti-inflammatory such as Accolate or Singulair.

 Continue to follow-up with your plastic surgeon;  if in doubt about the best route to take, consider in person 2nd opinion consultations with  board-certified plastic surgeons in your area.

Best wishes.


Closed capsulotomy

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It sounds like you surgeon performed a closed capsulotomy. However this is only a temporary fix.  If you have a capsule and it is tight, you probably need a revision.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Capusle popping?

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Hello and thanks for the question. The procedure you described is called a closed capsulotomy. It is still performed, but  not recommend by many surgeons because the capsule tends to come back in the same fashion after it heals. There's also a risk the breast implant could be ruptured by the pressure, so hopefully your surgeon discussed these facts with you. The standard therapy for severe contracture is surgery to remove the scar tissue and exchange the breast implant. See a board certified certified plastic surgeon for a second opinion. Best wishes, Dr. Aldo.

Aldo Guerra, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 216 reviews

Closed capsulotomy vs open capsulectomy

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Thank you for the question.  It sounds like your plastic surgeon suspected you had a capsule contracture and he performed a closed capsulotomy.  If this is the case it might be that you may not need any further treatment, however, in most instances the capsule reforms and the breast characteristics return.  At that time a full capsulectomy would be indicated which involved the removal of the entire breast capsule and replacing the implant.

All the best,

Dr Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 173 reviews


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Squeezing of your breast is the way they used to take care of the encapsulation before. If you’re not having any issue now you should be ok. Maybe getting a second opinion would be good.


Stuart B. Kincaid, MD, FACS (in memoriam)
Beverly Hills Plastic Surgeon

Pop after Squeeze of Breast with Capsular Contracture

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    The pop was the sound of a closed capsulotomy, which may give temporary relief of contracture.  This does not fix the problem in the majority of cases.

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.