Possible capsular contracture? (Photo)
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Doctor Answers 7
Implant not dropping
Breast implants and capsular contracture
7 weeks post breast augmentation and capsular contracture?
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Possible capsular contracture?
Capsular Contracture ~ 7 weeks postop?
In general, capsular contracture (CC) can occur at any time, but most cases are documented in under 12 months (i.e., anywhere from 3 months to 12 months post operation). This is because it takes time for the fibrous tissue capsule to form around the implant, and then it will have to scar down (contract).
Although 7 weeks is too early for formation of a complete capsule, capsular contracture can start early when there is significant bleeding or infection or another co-existing problem. If this is not the case, I wouldn’t worry.
Usually, the breasts will feel firm and tight this early after breast augmentation, making you think that it may be capsular contracture. However, such tightness is just because the breast tissue and skin have not adapted to the implants yet. This is evident by your own statement that they are still riding high. With effects of gravity and healing, the breasts will drop and feel more natural and soft as time goes. Once that happens, the implant will sit directly behind the breast tissue in a natural 45:55 breast ratio. Your breasts will achieve final results after 3 to 6 months post-surgery.
It is also not uncommon for breasts to heal and adapt to implants at different rates.
Now I need you to know that there are 4 grades/levels of capsular contracture:
- Grade I — the breast is normally soft and appears natural in size and shape.
- Grade II — the breast is a little firm, but appears normal.
- Grade III — the breast is firm and appears abnormal.
- Grade IV — the breast is hard, painful to the touch, and appears abnormal.
If your breasts do not appear abnormal, or painful, then you do not require surgery.
In fact, grades 1 and 2 CC do not require surgery, and can be fixed with breast massaging and singulair.
Massaging will keep the naturally occurring capsule stretched hindering it from contracting. However, this should not be done excessively as you may further aggravate the breast pocket causing inflammation.
That being said, you can also help prevent a capsular contracture by having regular follow-ups with your surgeon to make sure your breasts are healing beautifully.
Remember that your surgeon’s instructions should take precedence over everything else you read on here, so before doing anything, ask them.
Hope this helps.
Possible capsular contracture?
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.