Capsular Contracture: Understanding the Causes and Exploring Treatment Options

If you’re experiencing tightness in your breast, visible implant distortion, or discomfort following breast surgery, you may be dealing with a condition known as capsular contracture.

Though relatively common, especially in revision or reconstructive procedures, capsular contracture is frequently misunderstood—and often misdiagnosed or mistreated.

At The Practice in Beverly Hills, our board-certified plastic surgeons specialize in identifying and treating this complex issue using leading-edge techniques.

What Is Capsular Contracture?

Capsular contracture occurs when the body forms an abnormal amount of scar tissue (a capsule) around a breast implant. While some capsule formation is a normal immune response, in capsular contracture, the capsule tightens and hardens, squeezing the implant.

Key Symptoms:

• Breast becomes firm or tight.
• Implant may appear misshapen or distorted.
• Pain or discomfort can develop over time.
• Breast may look unnaturally elevated or asymmetrical.

This condition can appear months or even years after breast augmentation or reconstruction and is especially common in revision surgeries or cases where prior complications occurred.

Why Does Capsular Contracture Happen?

 

There is no single cause of capsular contracture, which is part of what makes treatment so complex. Instead, it typically results from several contributing factors.

Common Risk Factors:

• Previous surgery or trauma
• Hematoma (collection of blood) or infection post-surgery
• Immune system response to the implant material
• Implant rupture or leakage
• Bacterial contamination during or after surgery
• Radiation therapy in cancer reconstruction cases

Some research suggests that bacterial biofilm formation around the implant may trigger chronic inflammation, which can lead to contracture. Others point to genetic predisposition or implant type as factors that influence recurrence.

Recognizing the Symptoms

Because symptoms can vary in severity and mimic other concerns (like implant rupture or normal scar formation), early diagnosis is key. If you notice any of the previously mentioned signs, it is time to consult a specialist.

Treatment Options for Capsular Contracture

Treating capsular contracture is not simply about removing the scar tissue—it involves understanding why the capsule formed, choosing the best technique for your anatomy, and preventing recurrence.

Surgical Techniques Vary Based on Severity:

• Capsulectomy: Complete removal of the capsule, typically used in moderate to severe cases.
• Capsulotomy: Incisions made in the capsule to loosen it, suitable for milder contractures.
• Implant Replacement: Recommended in cases where implants are damaged or biofilm is suspected.
• En Bloc Removal: Removal of implant and capsule as a single unit, often used for rupture or chronic inflammation.
• Mech or ADM Placement: Acellular dermal matrices or mesh may be placed to reduce recurrence rates in high-risk cases.

Successful treatment requires technical skill, precision, and a deep understanding of both aesthetic outcomes and functional healing.

Why Patients Nationwide Choose The Practice for Breast Revision Surgery

 

At The Practice in Beverly Hills, Dr. Lisa Cassileth and Dr. Kelly Killeen are at the forefront of capsular contracture treatment. Their decades of combined experience, highly specialized surgical techniques, and dedication to long-term patient outcomes set them apart.

High-Volume Experience

We’ve treated hundreds of challenging cases with precision and consistency. Our surgeons use specialized techniques tailored to each patient, particularly in revision and reconstruction scenarios where standard approaches may fall short.

Proven Success Rates

Our track record reflects low recurrence rates and consistently natural, symmetrical outcomes. Patients benefit from long-term results that prioritize both aesthetics and comfort.

In-House Surgery Center

All procedures are performed in our private, accredited facility, reducing the risk of contamination and ensuring seamless coordination across your care journey.

All-Women Surgical Team

Empathetic, highly skilled, and collaborative, our team brings both technical excellence and personal understanding to every procedure.

Customized Treatment Plans

There’s no one-size-fits-all solution. Our plans are crafted with attention to your surgical history, anatomy, and personal goals—whether you’re seeking augmentation, implant removal, or reconstruction.

Whether your journey involves implant replacement, explant, or full restoration, our surgeons deliver care that restores comfort, confidence, and harmony in your results.

Now Enrolling: National Study on Capsular Contracture

To advance our understanding and improve outcomes for all patients, The Practice is currently participating in a national clinical study aimed at discovering new treatment options for capsular contracture.

If you have experienced capsular contracture—or suspect you might—this study offers a pathway toward better answers and better care.

What to Expect During Your Consultation

Your journey begins with a comprehensive evaluation. Our team will:

• Review your surgical history
• Perform a thorough physical exam
• Discuss goals, preferences, and options
• Recommend a personalized treatment plan

Patients are guided through every step of the process with transparency, expertise, and compassion.

Expert Care Is Within Reach

Capsular contracture can be physically and emotionally challenging, but with the right team, it is treatable. At The Practice, we combine deep expertise with an unwavering commitment to your well-being and results.

If you are experiencing symptoms or have concerns following previous breast surgery, we encourage you to schedule a consultation or ask about our ongoing study. Your comfort, confidence, and satisfaction matter, and expert care begins with the proper conversation.