6 Weeks Post Op This Sunday. Is This CC, a Tight Pocket or Tight Muscle? Zero Breast Tissue and Triathlete/marathoner? (photo)

250cc's over for 25 years. Bilateral capsulectomy 2 years ago due to CC, and left them out for that time. BA unders 350cc's. Lots of scar tissue in right breast. It was cleaned out as much as doc could get. In PT 3x/wk for right breast and shoulder. Couldn't raise my arm all the way up. Left soft with a lot of movement in the pocket, but right wiggles a bit now. Gets soft w massage, but not the same as the other. Feels stuck and firm from top and bottom. Can a capsule form this quickly? Thanks.

Doctor Answers 7

6 wks post breast augmentation

Most likely you have tightness from swelling and the pocket. Give it more time to settle. Good luck.

New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Is This CC, a Tight Pocket or Tight Muscle?

This does not have the appearance of a contracture (though a grade 2 capsule would feel firm but look normal). I suspect this is a normal course for a  submuscular implant, and that the appearance will soften as the pectoral muscles stretch out and relax to accommodate these implants. This can take up to three months or longer, and longer is likely in a muscular patient. 

All the best.   Patience. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

6 Weeks Post Op This Sunday Is This CC,? a Tight Pocket or Tight Muscle ? Zero Breast Tissue and Triathlete/marathoner

Your problem is most likely due to a tight pocket with the new implants and scar tissue reaction.  Massaging the breasts sounds good. Please followup with your plastic surgeon.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon
4.8 out of 5 stars 108 reviews

Unlikely to be a recurrent capsular contracture at 6 weeks post op

It is unlikely that this is a recurrent capsular contracture.  Most likely the muscle and skin are tight and causing a firm breast.  Follow your plastic surgeon's advice and massage the breasts as instructed. 

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Capsular contracture would be less likely

Thanks for your ? and pic. At 6 weeks, it is more likely muscle swelling and a tight pocket since there was more scar tissue. If your right pectoralis is more prominent then it can account for some of this. I think PT is a good modality. Given your previous 250CC over and now 350CC under, I think this is a lot of volume for the pocket. It is not surprising that the swelling is lasting longer than normal. Best of Luck!

M. Scott Haydon, MD
Austin Plastic Surgeon
4.8 out of 5 stars 90 reviews

Many factors for early tightness when prior history of capsules and now under muscle

This is probably a combination of tight muscle and resistant scarring from prior surgeries.  Capsules will be forming at 6 weeks, but that doesn't mean they are contracting at this point.  The fact that it gets better with PT is promising, although you may have to keep with it for quite a while.  As far as CCs, is the size you have now what you wanted?  Is it how you fill/not fill a bra or clothes?  I would also suggest doing stretching exercises that isolate your pects besides the PT.

Myles Goldflies, MD
Seattle Plastic Surgeon
4.3 out of 5 stars 11 reviews

6 weeks post reaugmentation - tightness.

At 6 weeks postop, it is possible to start experiencing the signs/symptoms of a capsular contracture. However, tightness from the muscle is also possible, particularly in a very active individual like yourself. Time will tell as a contracture typically persists whereas muscle tightness relaxes. Aggressive massage may help in the interim. Be patient and try to avoid daily exams as this will leave you frustrated.

David Bogue, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 25 reviews

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