Is 7 months too early to address capsular contracture?

Question

I'm 7 months post-op, 240cc under the muscle, and I think I'm developing capsular contracture on my right side. I had no breast tissue on that side prior to surgery so I expected it to be firmer than the other. It sits higher and I cant even squeeze it to half its width. The bottom half is a lot softer than the top half. Also the implant can barely move. Maybe the pocket was made small, but if I press on the top or bottom of the implant, it barely moves a cm.

Martin Jugenburg, MD · Answer

Based on what you’ve shared, a few things could be happening:

1. Capsular contracture: occurs when the scar tissue around the implant tightens, making the breast feel firmer and sometimes sit higher. It’s more noticeable in patients with little or no natural breast tissue, as the implant sits closer to the skin. Early signs can include firmness, asymmetry, or limited implant movement—some of the symptoms you’re describing.

2. Pocket size and implant placement: If the pocket was made slightly small, or if the implant was placed under the muscle, it may naturally feel firmer and have limited mobility initially. Implants under the muscle (submuscular) often sit higher initially and can take several months to “drop” as the tissue stretches.

What you can do:
Schedule an in-person evaluation with your plastic surgeon. They can determine if it’s true capsular contracture, a pocket sizing issue, or normal firmness due to limited breast tissue.

In some cases, mild contracture can be managed with massage, medication, or monitoring, while more significant contracture may require a surgical revision.

Since you’re at 7 months post-op, your tissues may still be settling, but given your concern about asymmetry and limited movement, a surgeon’s evaluation is the safest next step.

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Donovan Rosas, MD · Answer

Capsular contracture is a progressive process that develops over time as the body lays down layers of scar around an implant. It may begin as a slight firmness to the touch progressing to visual distortion and eventually pain/discomfort.

With regards to your specific question, 7 months is not technically "too early". However, at this early of a juncture it may be difficult to distinguish between a tight pocket and contracture.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Leila Kasrai, MD, FRCSC · Answer

If you feel excessive firmness in your breast then please see your surgeon for an assessment. Capsular contracture can develop within months of surgery.

Sacha Obaid, MD · Answer

Hi there.  It is not too early to develop capsular contracture.  It is something that you would want to follow up with your plastic surgeon for further evaluation, especially if it feels firmer and is sitting higher than the other side.  I have included a video in hopes that it helps answer some of your questions.  Best of luck to you!

Mohamed Elmaraghy, MD, FRCS(C) · Answer

Capsular contracture can occur quite early after breast implant surgery. Generally one would not advise surgery prior to six months to a year after breast augmentation to allow for settling of the implants and to establish the final clinical result. Early after breast augmentation surgery it can be difficult to differentiate between a tight implant pocket or soft tissue envelope and early capsular contracture. This may become clearer over time and allow for more accurate planning of secondary surgical options, which may include surgery one or both breasts.

Emmanuel Mallol Cotes, MD · Answer

Thanks so much for your question,

Seven months post-surgery is not too early to address capsular contracture. In fact, it's important to address any concerns about capsular contracture as soon as they arise to prevent further complications and ensure the best possible outcome.

Common signs of capsular contracture include:
Hardening of the breast, Tightness or firmness around the implant, Pain or discomfort, Changes in the shape or position of the breast.

If you suspect you have capsular contracture, schedule an appointment with your plastic surgeon. They can perform a physical examination and may use imaging tests to assess the severity of the contracture.

Sincerely, 
Dr. Emmanuel Mallol

Daniel Barrett, MD · Answer

Dear Warmhearted760468,
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

Miguel Mota, MD · Answer

Interesting question! The simple answer is no, it is not too soon. This might very well be a Capsular Contracture, but it may also be that the implant has settled a bit too high. If massages don’t work, the best course of action, for both cases is surgery for pocket revision. Pocket revision might be a bit more tedious for capsular contraction but it would be basically the same solution for both.

Best of luck,
Dr. Miguel Mota

Best of luck,
Dr. Miguel Mota

Nelson Castillo, MD · Answer

Thank you for sharing your question. Although an in-person examination is needed to give you the best advice, most breast revision work can be pursued after 6 months.  Hope this helps.

Camille Cash, MD · Answer

Schedule a follow up visit with your surgeon.  She/He can evaluate you to determine if you have a capsular contracture or if the breast is still feeling tight as a result of the surgery.  I've included a video about capsular contracture that I hope you find helpful.

Is 7 months too early to address capsular contracture?

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