Capsular contracture is a possible complication that can occur after breast augmentation surgery. It happens when the scar tissue, or capsule, around the implant tightens and constricts the implant. Recognizing the early signs of capsular contracture is crucial for prompt intervention and successful treatment. As a professional plastic surgeon, I would like to outline the following aspects to help identify the early signs of capsular contracture:
1. Firmness and Tightness
One of the earliest signs of capsular contracture is an increased firmness or tightness of the breast. Patients may notice that the implant feels harder than before or has less natural give when touched.
Furthermore, the breast may begin to feel tight and uncomfortable, which can be a result of the tightening scar tissue surrounding the implant.
2. Visible Changes
Capsular contracture can also cause visible changes in the breast aesthetics. Some patients may notice that the shape of the breast has altered, becoming more rounded or distorted. In severe cases, the breast may appear excessively high and unnaturally positioned.
Additionally, the affected breast may display an uneven or asymmetrical appearance compared to the unaffected breast.
3. Discomfort or Pain
Early signs of capsular contracture may include discomfort or pain around the breast area. Patients may experience sensations of tightness, soreness, or a dull ache. This discomfort often occurs on one side and can sometimes be associated with movement or pressure applied to the breast.
It is important to differentiate this discomfort from standard post-operative pain in the early stages by observing its persistence and progressive nature.
4. Changes in Texture
As capsular contracture develops, patients may notice changes in the texture of their breast. The affected breast might feel harder or have a palpable rippling sensation. The overlying skin may become excessively smooth or develop a rippled appearance, resembling an orange peel.
These textural changes are often indicative of the tightening and contracting of the scar tissue around the implant.
5. Implant Malposition
Capsular contracture can lead to implant malposition, resulting in a higher or displaced implant. Patients might notice that the implant moves upward or shifts to the side, causing asymmetry and an unnatural appearance.
It is crucial to address implant malposition promptly, as it can contribute to further complications.
6. Breast Sensitivity Changes
Early stages of capsular contracture may cause alterations in breast sensitivity. Some patients may experience increased sensitivity, while others may notice decreased sensation or numbness. These changes can be related to the compression and tightening of nerves within the scar capsule.
Monitoring any sudden or significant sensory changes is essential for early detection.
7. Swelling or Inflammation
In some cases, capsular contracture can lead to localized swelling or inflammation. Patients may observe an increase in size or asymmetry of their breasts. The affected breast may feel warm, look red, or exhibit signs of inflammation.
Swelling or inflammation should be evaluated promptly to determine its cause, as it may indicate the onset of capsular contracture.
8. Audible Noises
In rare instances, patients with capsular contracture might experience clicking or other audible noises when moving their breasts. These sounds can occur due to friction between the implant and the tightened capsule.
Consulting with a plastic surgeon is necessary to assess and confirm the presence of these audible symptoms.
Conclusion
It is crucial to be vigilant about the early signs of capsular contracture following breast augmentation surgery. Recognizing firmness, visible changes, discomfort, texture alterations, implant malposition, sensitivity changes, swelling or inflammation, and audible noises are vital for early intervention.
Consulting with a board-certified plastic surgeon is crucial for accurate diagnosis and appropriate treatment options to address capsular contracture.
References:
1. American Society of Plastic Surgeons. (n.d.). Capsular Contracture. Retrieved from https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation/implants/capsular-contracture
2. International Society of Aesthetic Plastic Surgery. (n.d.). Capsular Contracture: What Are the Signs? Retrieved from https://www.isaps.org/blog/capsular-contracture-what-are-the-signs/
3. American Board of Cosmetic Surgery. (n.d.). Capsular Contracture after Breast Augmentation. Retrieved from https://www.americanboardcosmeticsurgery.org/procedure-learning-center/breast/breast-augmentation-guide/capsular-contracture/
