Capsular contracture is a common breast implant complication that occurs when the natural fibrous tissue around your implants grows too thick and squeezes them. This can make your breasts feel hard, appear asymmetrical, and cause discomfort and pain. Capsular contracture is treated surgically to cut open or remove the hardened capsule.

How capsular contracture surgery is performed

Capsular contracture surgery can be performed under local or general anesthesia and is very similar to your original breast augmentation surgery. There are two surgical treatments for capsular contracture:

A capsulotomy involves your surgeon scoring the capsule to open it up and relieve the pressure on your implant. Your surgeon will make incisions in your breasts, (usually reusing existing scars), remove your implant, and make cuts in the capsule. Your surgeon will then put your implant back in, or replace it with a new one.

A capsulectomy is performed in a similar way, but the capsule is completely removed. Capsulectomy is associated with a lower recurrence rate compared to capsulotomy, but requires more cutting in your breast tissue.
 
Replacing your implants with new ones and changing how your implants are placed in your breast tissue may reduce your risk of developing capsular contracture again.

Recovery

Recovery after capsular contracture will be similar to your original breast augmentation surgery. Most women can return to work after one to two weeks. You’ll have some pain, swelling and bruising, but this should subside after a few days. You’ll have to avoid strenuous activity for about one month.

Costs

The costs of capsular contracture surgery vary depending on the extent of your surgery, the costs of any new implants used, and surgery and anesthesia fees. Your surgeon and health insurance provider can help clarify costs.