What can I expect during capsulorrhaphy?

Back in 2009 I finally saved up enough money to get the breast reduction surgery I'd always wanted. But I made a big mistake. Because I couldn't really afford this surgery in the first place, I opted to get the work done by whoever could do it for the least money where I live. I've always had great faith in doctors and couldn't imagine a physician telling me they were qualified to do something they obviously were not able to do properly. And worse, this doctor wouldn't even correct the situation unless I paid him more money, and I wasn't about to make the same mistake twice. So ever since my breast reduction surgery I've had lopsided breasts. Anyway, fast forward to 2016 and my finances are much healthier now so I want to get my breasts fixed by a proper doctor. I keep hearing about something called Capsulorrhaphy from people but don't really understand why I would need something like that when I only want to have normal boons that are the same size and hang the same way. Could somebody please explain to me what Capsulorrhaphy actually is and why I would get that when it seems to me like all I need is a proper boob job? Thank you.


F, 44, Virginia

Capsulorrhaphy is a very common procedure used to correct women’s breasts who have had implants or reduction surgery. The breast tissue or implant sits in a sort of “capsule” formed by the scar tissue formed by the incisions of the original procedure. Trauma to the area or a leaked implant can cause this capsule to break down, resulting in the breast tissue or implant to become displaced, leading to uneven breasts.  

During the procedure, the surgeon will typically use the original incisions to perform the revision. Your surgeon will determine the area where the breakdown has occurred and use internal sutures to reinforce the wall of the capsule, to keep the breast tissue or implant in place. Those who need the revision due to breast implants may have their implants replaced during this procedure. The reinforced wall created is also known as an “internal bra” which holds the implant or breast tissue in its proper place.

It's crucial that you see a surgeon very experienced in capsulorrhaphy for your revision. The procedure requires more patient cooperation after the procedure than your original procedure, and you should plan for at least six weeks of no strenuous activity afterward. Your surgeon will probably require you to wear a supportive bra for the first four weeks following your procedure. This will help give your incisions time to develop strong scar tissue that will hold your breasts in place, so follow your surgeon’s instructions carefully!

Capsulorrhaphy is a pretty serious procedure and you really need to follow the doctor’s directions so that the fix becomes permanent. If things stay normal for the first six weeks following surgery, that’s a good sign that you won’t need another repair in the future. It’s really important to wear a supportive bra while you’re healing. You’ll also want to give yourself a full six weeks to heal without stressing any of the surgery points.

There are all different implant options and techniques for capsulorrhaphy because there are so many variations in women’s breasts. Ultimately, for the best results, you should pick a surgeon who specializes in capsulorrhaphy. The technique that’s used is what will determine how effective the correction will be long-term. When done correctly, there’s a very low failure rate for most patients. The longer you give yourself to heal before returning to normal activities, the better off you'll be as well.

Capsulorrhapy is the surgical repair a hardened implant and capsule. The original incision used to insert the implants will be used to remove the hardened capsule and implant. This same incision will be used to insert a new implant.

Capsulorrhapy is one of the most common revisionary breast surgeries. It is often called the pocket correction. This surgery uses the placement of internal sutures to create an internal bra. This pocket corrects the displacement of the implant.