What are the signs of a capsular contracture after surgery?

I just had surgery last Thursday, and so far everything is going great. My recovery has been just like my doctor said it would be. Before I decided to have my breast augmentation, I had a lot of concerns about possible complications, so just to be sure, what signs should I be looking out for, specifically for capsular contracture? If I’ve made it a week without any issues, am I in the clear?


F, 35, Colorado

Capsular contracture usually takes at least a month before it shows up. The signs are firmness of the implant, elevation on the chest wall changing to actual hardness and discomfort.

Dr. Donald Kress has 4 Breast augmentation, Breast lift before & afters:

» View Dr. Donald Kress's full profile

Thank you for sharing your question.  Yes, you are in the clear for Capsular Contrature for right now.  However, you could develop a contracture in the future, so it is helpful to know what signs and symptoms to look for.  The body creates a capsule around the implant.  Capsular Contractures are not predictable, and are can be triggered by different things.  Some signs to look for are pain or tenderness, shape change of the breast (usually making the contracted side look substantially higher than the normal side), implant hardening,  or a feeling of tightness on one side.  I hope this was helpful to you.  

Best Wishes, Dr. B.

Dr. A. K. Bhattacharya has 2 Breast augmentation before & afters:

» View Dr. A. K. Bhattacharya's full profile

If you are like most women with new implants, your breasts will feel firm at the start. Over the course of the first few weeks, your breasts will gradually adapt to the added volume and you will notice that the implants settle; the round, somewhat unnatural shape will become more natural looking; and the firmness will go away. This usually takes about four to six weeks. I find that breast massage and/or placing implants in a dual plane manner helps this settling process. If you develop capsular contracture- tightening of the thin layer of scar tissue that you will form around your implants- you will notice that your breasts are not softening; they may actually be getting harder. Instead of settling, your implants may remain too high on your chest and/or your breasts may look too round. If you notice any of these things, let your surgeon know immediately. There are some steps that can be taken to counteract this. Unfortunately, none are consistently successful.