Capsular contracture is the term used to describe clinically significant scar tissue that forms around breast implants. Capsule formation is a normal phenomenon whereby one’s body recognizes the implant as a foreign object and in essence, tries to form a thin protective layer around it. This is often referred to as a (clinically significant) capsular contracturel.
The change may be in the form of a breast that changes shape, becomes firmer, or causes some discomfort. Patients who experience this may want to be examined in order to rule out some potentially problematic situations.
AVOIDING Capsular Contracture
The percentage of women, 10 – 15 percent, who experience capsular contracture is quiet low. And while there is no known way to guarantee that a woman won’t develop one, Dr. Tepper can discuss with you some of the factors that may reduce your chances.
A capsular contracture refers to a change in the look, feel or position of the implant as a result of capsule formation. It remains unclear why one woman will form a capsular contracture and another will not, or why one breast may develop one while the other remains completely soft and natural.
If you notice that one or both of your breasts are not as soft as they once were or are changing, a consultation may be a wise choice. Dr. Richard Tepper will examine you and determine if indeed you have one and what the treatment options are.
Capsular contractures are often graded on a scale of I to IV (Baker scale)
- Grade I: The breast is looks and feels normal.
- Grade II: The breast looks normal but the feel has changed slightly.
- Grade III: The breast feels firm, and the shape has begun to change to a more-rounded appearance.
- Grade IV: Similar to grade III but with some pain or discomfort.
The treatment for capsular contracture may depend on the physical exam findings, the implant that was used, the location of the implant, and whether the procedure was performed for cosmetic or reconstructive reasons.
Surgery for capsular contracture may be more limited, or may be of similar magnitude as your original procedure. Insurance may cover some aspects of the surgery to treat capsular contracture. Dr. Tepper will gladly discuss your individual plan during your consultation.
Many women achieve good success after surgery for capsular contracture, and are pleased with the outcome. However, there always remains a chance that another capsule will develop.
If you would like more information about this aspect of breast surgery, Request a consultation online or call us at (908) 654-6540 to schedule your appointment with Dr. Richard Tepper, Board Certified Plastic Surgeon.
Before & After Photos
View Before and After photos of some of our satisfied patients who have chosen to work with Dr. Tepper.