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Capsular Contracture

Capsular contracture is a term used to describe the uncommon problem of malformed scar tissue around a breast implant after breast augmentation surgery. During the breast augmentation procedure, a pocket in the breast tissue is created and the implant is inserted. As the tissues begin to heal after surgery, a capsule of scar tissue forms to hold the implant in place. Capsular contracture occurs when this capsule contracts, or thickens, and squeezes the implant, causing the breast to harden or become distorted. Through surgery, capsular contracture can be corrected and the condition of the breasts can be improved.

The Baker Classification categorizes capsular contracture by separating it into four specific grades:

Grade I

The breast is soft and appears normal and flexible.

Grade II

The breast looks normal, but feels hard.

Grade III

The breast looks distorted or rounded, and feels hard to the touch.

Grade IV

Similar to Grade III, but with a more hardened capsule and discomfort or pain.

Ideal Candidates

Ideal candidates for capsular contracture correction are in good overall health and are emotionally ready for surgery. Patients should refrain from smoking for at least two weeks before surgery as well as avoid taking anti-inflammatory medications, as these can increase bleeding. Although capsular contracture correction is very effective, patients should always make sure they have realistic expectations about the outcome of their procedure. Most patients who undergo this type of surgery experience one or more of the following symptoms:

  • Deformed or misshapen breasts
  • Pain and stiffness in the breasts
  • Breasts that have hardened over time


Dr. Chiu performs capsular contracture in an accredited facility on an outpatient basis. The procedure is done with the patient under general anesthesia and takes about two hours to complete, depending on the severity of the capsular contracture. After taking your preferences and needs for correction into mind, Dr. Chiu will perform one of two techniques.

Open Capsulotomy

This technique works best for implants placed above the breast muscle that are not ruptured or leaking. An incision is made in the breast and the capsule is opened, allowing it to expand. This results in more space for the implant and relieves the stiffness of the breast.


This method is performed when the implant is silicone gel and has shown signs of previous trauma. An incision is made and the scar tissue is removed. A brand new implant may then inserted be into the breast.

* Replacing the breast implant may provide better long-term results.


Once the procedure is complete, the breast area will be wrapped with a specialized surgical bra to reduce swelling and bruising. Drains may also be placed in the breast to remove any excess fluid that may be apparent after surgery. Dr. Chiu will prescribe medication to ease any pain or discomfort that you experience over the next few days. Most patients feel that they can return to work approximately one week after surgery. However, any strenuous exercise or activity should be avoided for at least four weeks following surgery.

Your New Look

Patients are typically very satisfied with the outcome of their procedure and are excited that they can move forward with their lives without this embarrassing condition. They feel confident knowing that their breasts look and feel more natural. To ensure the results of capsular contracture correction are long lasting, it is important that you choose a surgeon who is board certified and experienced in performing this type of surgery.

At Beverly Hills Plastic Surgery, Dr. Gabriel Chiu regularly performs all types of breast procedures, including capsular contracture correction, to help women achieve the look that they desire. To schedule a consultation with our board certified plastic surgeon, we welcome you to call (888) 754-8955 or fill out our online contact form today.

Patient Testimonials


Dr. Chiu and his staff are the absolute best! My consultation was done thoroughly and he made sure to answer all my questions and let me know that he was there for me if I needed anything else. Every followup appointment, Dr. Chiu and his staff made me feel at home, I'd highly recommend him to anybody who is interested in pursing a cosmetic procedure!

- Lisa


I am so happy that I chose Dr. Chui to do my surgery! From the moment I met him, I was at ease. He is very confident and very comfortable to talk to! He really is a perfectionist and I am so pleased with the outcome of my surgery! I can't wait to go back to him after I am done having kids so he can repair my stomach! He is really amazing at what he does!



My experience with Dr. Chiu was a great one! From the pre-op meetings to the tummy tuck procedure, Dr. Chiu showed great expertise and made me feel comfortable and confident an now he has made me feel great!!!! I truly recommend Dr. Chiu. From a truly grateful patient.


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