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[WONJIN PLASTIC SURGERY] Get To KNOW More About Capsular Contracture



Do you feel your new breast too tight and hard?

This might be one of the sign after getting breast plastic surgery from unexperienced plastic surgeon. Capsular contracture may be the reason why you feel your breasts extremely tight and hard. You may also notice the shape of the breasts have been deformed.


Credit to: Plastic Surgeon In Korea


Capsular contracture is the term used to describe scar tissue that form around breast implants as an immune system response to foreign materials which may cause the breasts to harden, to look or to feel different, and may cause some discomfort from the tightening of the capsule.


So what cause capsular contracture?

The cause of it is unknown, but factors such as bacterial contamination, rupture of the breast implant shell, leakage of the silicone-gel filling and hematoma are common to its incidence. Moreover, poor insertion of implants can also cause it. It may appear within 6 to 8 months of surgery.

The degree of capsular contracture is graded using the four-grade Baker scale:

  • Grade I – the breast is normally soft and appears natural in size and shape
  • Grade II – the breast is a little firm, but appears normal
  • Grade III – the breast is firm and appears abnormal
  • Grade IV – the breast is hard, painful to the touch, and appears abnormal


HOW to handle capsular contracture – WONJIN PLASTIC SURGERY

Implants may require relocation, or a different type of implant must be inserted.

1) At first, Wonjin Plastic Surgery will eliminate the solidified capsule by avoiding tissue damage (Capsulectomy) then RELOCATE the implant or REPLACE it with a more suitable type of implant like MOTIVA.


2) Using textured or polyurethane-coated implants like MOTIVA ERGONOMIX












3) Using submuscular breast implant placement





HOW to treat capsular contracture with medication

Several drugs have been used in an attempt to treat capsular contracture. So far, no drug treatment can guarantee a cure for contracture.

1) Accolate (Zafirlukast) 

Actually Accolate is an oral medication used to prevent asthma attacks. Because of how this drug works as an anti-inflammatory, it was thought that it may be beneficial to women with capsular contracture. In one study in 2002, women were given 20mg of Accolate by mouth twice a day for three months. Many of them showed a dramatic improvement regarding softening of the capsule after the treatment period.


HOW to treat capsular contracture with other types of treatment

1) Massage

Many surgeons recommend massage for their patients whether or not they have capsular contracture. While there is no proof that massaging can prevent or reverse capsular contracture, it certainly doesn’t hurt to try it, unless you have textured implants.

2) Vitamin E

For many years, it has been popular among with capsular contracture. It’s cheap, easy to accessm and has no inherent risks. It is thought to help soften the scar capsule, although no studies have no proven that it is an effective treatment for capsular contracture.

3) Papaverine

It is a vasodilator and muscle relaxant. It works by opening up veins and arteries and relaxing smooth muscles. Unfortunately, there is no solid proof that it can really reverse the effects of capsular contracture.

4) Ultrasound 

It doesn’t only soften the scar tissue, but it also renders the bacteria on the shell more vulnerable to the body’s immune system. Unfortunately, ultrasound, like non-surgical treatmens, can’t guarantee improvement or complete reversal of capsular contracture.

Source: Treating capsular contracture


So if there is no other option except surgery and you want to do it ASAP. When will it possible?




dr. Park Wonjin from Wonjin Plastic Surgery recommends breast plastic surgery revision to be done 6 months post surgery. It is best not to rush revision surgeries as inflammation may reside for up to 6 months and tissues must be able to prolificate.

However revision surgeries may become compulsory when there is extreme pain and implant deformation.



Prevent capsular contracture before it happens!

Choose Wonjin Plastic Surgery for Korea Breast Plastic Surgery!

With 20 years of experiences, Wonjin Plastic Surgery promises satisfactory results. 













Youtube channel: Korea Plastic Surgery
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