Capsular Contracture Beverly Hills

Grading capsular contracture

Capsular contracture is graded on a scale of I to IV. On this scale, Grade I indicates a normal, soft breast. In Grade II, the breast is somewhat harder and the implant can be felt. By Grade III, the entire breast is firm, and the implant is obvious to the touch. Asymmetry will often be present as well. At Grade IV, the most severe form of capsular contracture, the breast is hard with serious distortion, and you may experience pain. Imaging studies may assist the diagnosis but is typically unnecessary.

Treating capsular contracture

In most cases, surgical removal of the capsule and implant, referred to as a capsulectomy, is the treatment of choice to correct the issue. This may or may not include placement of a new implant – this mainly depends on the patient’s preference.

In a few cases, a full capsulectomy is not necessary. Occasionally, a new pocket can be created between the scar tissue and the muscle without removing the scar tissue. In other situations, a partial capsulectomy, which removes only the anterior scar tissue, or a capsulotomy, which simply scores the scar tissue rather than removing it, may be appropriate. However, both of these options have the downside of an increased rate of recurrence. In addition, some patients wish to remove the implants entirely at this time; In such cases, the scar tissue may, or may not, also need to be completely removed. Dr. Schwartz will be able to fully advise you on your options after he examines you

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Jaime S. Schwartz, MD, FACS

Board Certified Plastic Surgeon


Beverly Hills Board-Certified Plastic Surgeon Jaime S. Schwartz specializes in breast reduction, breast augmentation, breast cancer reconstruction, and breast revision.