Capsular Contracture Overview

What is Capsular Contracture? 

Capsular contracture is a common complication following breast augmentation or reconstruction, characterized by the formation of tight scar tissue around a breast implant. This condition can lead to discomfort, distortion of the breast shape, and a significant impact on self-confidence. As a board-certified plastic surgeon, Dr. Joshua B. Hyman understands the effects of capsular contracture on his patients' physical and emotional well-being. His approach to addressing capsular contracture in NYC is rooted in compassion and understanding, tailored to alleviate physical discomfort and restore a natural, harmonious breast appearance.

What are the Causes of Capsular Contracture?

Capsular contracture can occur due to various factors, including:

  • bacterial contamination
  • subclinical infection
  • hematoma
  • silicone implant rupture
  • implant texture.

The body's natural response to a foreign object, such as a breast implant, can lead to excessive scar tissue formation around the implant, resulting in capsular contracture. Dr. Hyman considers these factors when evaluating and treating capsular contracture in his patients.

What are the Grades of Capsular Contracture? 

Capsular contracture is graded on a scale from I to IV, with each grade indicating the severity of the condition. Grade I involves minimal contracture, while Grade IV represents significant firmness, distortion, and discomfort. Dr. Hyman carefully assesses each patient's capsular contracture grade to determine the most appropriate treatment approach.

Who is at Risk of Capsular Contracture? 

While the precise risk factors for capsular contracture remain under study, certain factors such as implant type, surgical technique, and patient-specific factors may contribute to an increased risk. Dr. Hyman thoroughly evaluates each patient's medical history, lifestyle, and individual risk factors to develop personalized strategies to reduce the risk of capsular contracture.

How Can You Reduce The Risk Of Capsular Contracture? 

Dr. Hyman emphasizes the importance of patient education and proactive measures to reduce the risk of capsular contracture. This may include selecting appropriate implant types, utilizing advanced surgical techniques, and adhering to meticulous post-operative care. Additionally, Dr. Hyman may recommend specific measures such as antibiotic irrigation during surgery, proper implant positioning, and regular follow-up appointments to monitor the healing process and minimize the risk of capsular contracture.

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I have had 3 surgeries with Dr. Hyman and I can’t say enough Amazing things about him. He is a highly skilled and compassionate surgeon. My last surgery was liposuction & a breast lift and transfer to the breasts after explanting my breast implants. Throughout my whole breast journey he has been so supportive and positive!

Alison M.

Your Complimentary Initial Consultation with Dr. Hyman 

Embarking on your journey toward addressing capsular contracture in NYC begins with a personalized consultation with Dr. Joshua B. Hyman. This initial meeting allows patients to discuss their concerns and aesthetic aspirations openly. At our state-of-the-art facility in Manhattan, patients from across New York City and surrounding communities are welcome to discuss capsular contracture treatment thoroughly. Dr. Hyman conducts these consultations, focusing on understanding each patient's unique needs and desired outcomes, ensuring the highest standards of safety and care.

Capsular Contracture Treatments

Dr. Hyman offers a range of treatment options for capsular contracture tailored to each patient's unique needs and the severity of their condition. Treatment methods may include capsulotomy, in which the scar tissue is surgically released to alleviate pressure, or capsulectomy, involving the complete removal of the scar tissue capsule. Dr. Hyman carefully discusses the available treatment options with his patients, ensuring they are well-informed and comfortable with their chosen approach.

Your Capsular Contracture Recovery Period 

Following capsular contracture treatment, patients can expect a personalized recovery period tailored to their specific treatment plan. Dr. Hyman provides detailed post-operative instructions and ongoing support to facilitate optimal healing and smooth recovery. Patients are encouraged to communicate openly with Dr. Hyman and his team throughout their recovery, allowing any concerns or questions to be addressed promptly.

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Why Choose Dr. Hyman?

Dr. Joshua B. Hyman, our distinguished board-certified plastic surgeon, is renowned for his expertise in achieving natural-looking results and for providing meticulous care to address capsular contracture in NYC. His warm and approachable demeanor, exceptional surgical skills, and commitment to personalized attention have made him one of the most sought-after surgeons in New York City and beyond. Dr. Hyman's private, state-of-the-art onsite surgery center reflects his dedication to a comfortable and technologically advanced surgical environment, ensuring the highest safety and aesthetic excellence standards. He provides personalized consultations, exhaustive follow-ups, and a warm, relatable bedside manner, prioritizing each patient's success and well-being.

Some of Dr. Hyman’s top credentials include:

Capsular Contracture FAQs

How soon after a pregnancy or breastfeeding can I treat my contracture?

How long after my original breast augmentation can capsular contracture develop?

What is an 'animation deformity,' and can treating my contracture fix it?

If it happened once, what are the chances of capsular contracture happening again?

How soon after a pregnancy or breastfeeding can I treat my contracture?

If you have recently given birth or breastfed, you should generally wait at least 3 to 6 months before scheduling a capsular contracture revision. Pregnancy and nursing significantly change breast volume and skin elasticity. Waiting allows your hormonal levels to stabilize and your natural breast tissue to completely settle, ensuring Dr. Hyman can achieve the most accurate and symmetric surgical outcome.

How long after my original breast augmentation can capsular contracture develop?

It usually develops within the first 12 months while the body is actively healing. However, 'late-onset' contracture can happen years or even a decade later, often triggered by a silent implant rupture, a microscopic infection, or physical trauma to the breast.

What is an 'animation deformity,' and can treating my contracture fix it?

An animation deformity happens when an under-the-muscle implant visibly flexes, flattens, or jumps out of place whenever you use your chest muscles (like during a workout). Capsular contracture makes this worse by gluing the implant tightly to the muscle. During revision surgery, Dr. Hyman can modify the surgical pocket or adjust the implant's placement to relax the muscle's pull and restore natural, fluid breast movement.

If it happened once, what are the chances of capsular contracture happening again?

Patients who have experienced capsular contracture do have a higher baseline risk of recurrence. To combat this, Dr. Hyman utilizes advanced preventative measures during your revision surgery. This includes completely removing the old capsule, changing the implant placement pocket (such as moving the implant from above the chest muscle to below the muscle), using antibiotic irrigation, and utilizing a specialized surgical matrix (like ADM) to support natural, healthy tissue healing.

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