capsular contracture - can ultrasound picture show in black and white that capsular contracture occurred or that it didn't?

Question

can ultrasound picture show in black and white that capsular contracture occurred or that it didn't? One of my breast is smaller, which worries me. The surgeon I consulted lately took on a manner which I can describe subjectively as dismissive and concluded my right side of chest appears to be smaller and therefore the right breast is smaller too. I am not exactly certain I can take his words seriously though. Can I have an examination done to confirm cotracture has occurred or not?If so, which?

Brian C. Reuben, MD · Answer

Thank you for your question.  Typically the best and most reliable way to make the diagnosis of capsular contracture is by physical exam and history.  The feel of the implant is quite important and how this has changed over the past months or years is key.

Vincent N. Zubowicz, MD · Answer

And ultrasound might demonstrate a round shape to the prosthesis consistent with capsular contracture but your plastic surgeon can make a diagnosis in one minute by physical examination.

Gary Lawton, MD, FACS · Answer

The best way to determine if you have a capsular contracture is by physical examination by a plastic surgeon with experience in breast augmentation.

Curtis Wong, MD · Answer

and not by some radiographic study.  Either your breast is soft or not.  Capsules can be thin and still contract so an ultrasound will not be helpful.  If you refer to your pre-op photos, you should be able to discern if one side was smaller or the chest wall more prominent to help explain your post-op asymmetry.  Finally, if you appreciate one breast getting smaller, you could have a contracture or if a saline implant, a bad valve that is slowly leaking.

Patrick Briggs, FRCS, FRCSI (Plast Surg) (retired) · Answer

capsular contraction is a clinical diagnosis. An ultrasound may show a very thick capsule but milder forms may not be apparent with imaging.

capsular contracture - can ultrasound picture show in black and white that capsular contracture occurred or that it didn't?

Answers (5)

Answer: Contractures are diagnosed clinically

Answer: Contractures are diagnosed clinically

Answer: Capsular contraction..............

Answer: Capsular contraction..............

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Everything you need to know about Capsular Contracture Treatment

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capsular contracture - can ultrasound picture show in black and white that capsular contracture occurred or that it didn't?

Answers (5)

Answer: Contractures are diagnosed clinically

Answer: Contractures are diagnosed clinically

Answer: Capsular contraction..............

Answer: Capsular contraction..............

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Recommended reading

Everything you need to know about Capsular Contracture Treatment

Our mission is to create a world where every investment in modern beauty is Worth It.