What is a capsular contracture?
Capsular contracture occurs when the scar tissue (capsule) that naturally forms around a breast implant tightens and hardens. This can lead to firmness, distortion of breast shape, discomfort, and in some cases pain. Capsular contracture is a recognised complication of both breast augmentation and breast reconstruction, occurring in approximately 10–15% of cases.
Several factors are known to increase the risk of developing capsular contracture, including:
- Previous breast surgery or implant revision
- Infection or inflammation around the implant
- Bleeding or fluid collection (haematoma or seroma) after surgery
- Radiotherapy to the breast following cancer treatment
- Implant placement above the muscle
- Certain implant types or surface characteristics
- Smoking, which affects healing
- A history of capsular contracture
While preventative measures — such as careful surgical technique, appropriate implant placement, and post-operative massage — can help reduce risk, capsular contracture can still occur.
When symptoms are significant, treatment may involve surgery to remove or release the tightened capsule (capsulectomy or capsulotomy), often combined with implant replacement to restore comfort and breast shape.
Experiencing capsular contracture can be distressing. With over 20 years of surgical experience, Ms Varghese offers expert assessment and personalised treatment plans, tailored to both your symptoms and your individual goals. Her approach focuses on relieving discomfort, improving breast appearance, and restoring confidence.
If breast augmentation or reconstruction surgery has left you experiencing discomfort or pain, please get in touch to book a consultation. We are here to support you and help you explore the best options for your care.
