Breast implant scar removal most commonly refers to treating capsular contracture, a condition in which the natural scar tissue surrounding a breast implant tightens and hardens. While some scar tissue formation is normal after breast augmentation, excessive tightening can affect the look, feel, and comfort of the breasts. In more advanced cases, this can lead to visible distortion and persistent discomfort.
At Jaibaji Plastic Surgery, treatment for capsular contracture is performed by Dr. Moneer Jaibaji, a double board-certified plastic surgeon with extensive experience in both cosmetic and reconstructive breast surgery. Patients in San Diego and Coronado rely on his expertise to diagnose, manage, and correct implant-related complications with a focus on restoring natural appearance and comfort.
What Is Capsular Contracture?
After breast augmentation, the body naturally forms a thin layer of scar tissue—called a capsule—around the implant. In most cases, this capsule remains soft and undetectable. However, in some patients, the capsule tightens and thickens, leading to capsular contracture.
When this occurs, the breast may feel firm or hard, appear distorted, or sit higher on the chest. In more severe cases, the condition can become painful and interfere with daily comfort.
Signs and Symptoms of Capsular Contracture
Capsular contracture can develop gradually and may affect one or both breasts. Symptoms can vary depending on severity.
Common signs include:
- Increasing firmness of the breast
- Visible changes in breast shape
- Implant shifting upward or appearing higher
- Discomfort or tenderness
- Persistent or worsening pain in advanced cases
Pain is often associated with more severe forms of contracture and may be noticeable even without pressure.
Capsular Contracture Grades
Capsular contracture is typically classified into four grades based on severity:
- Grade 1: Breast appears and feels normal
- Grade 2: Breast is slightly firm but still appears normal
- Grade 3: Breast is firm with visible distortion or implant displacement
- Grade 4: Breast is hard, visibly distorted, and painful
Understanding the grade helps determine the most appropriate treatment approach.
Board Certified Plastic Surgeon
What Causes Capsular Contracture?
The exact cause of capsular contracture is not fully understood, but several factors are believed to contribute. One leading theory suggests that low-level bacterial contamination may trigger an inflammatory response, even with proper sterile technique.
Other contributing factors may include:
- Implant placement above or below the muscle
- Type and surface of the implant
- Surgical technique and handling of the implant
- Individual healing response
While surgeons follow meticulous protocols to reduce risk, capsular contracture cannot be completely prevented.
Can Capsular Contracture Be Prevented?
There are several techniques that may help reduce the likelihood of capsular contracture, although no method guarantees prevention.
These may include:
- Careful surgical technique and minimal implant handling
- Use of antibiotic irrigation during surgery
- Avoiding incisions through breast tissue when possible
- Postoperative breast massage in selected patients
- Wearing supportive garments after surgery
Dr. Jaibaji provides individualized postoperative instructions to help optimize healing and reduce risk.
Non-Surgical Treatment Options
In early or mild cases, medical management may be considered. However, these treatments are not always effective and may carry potential side effects.
Massage may be recommended after initial breast augmentation to help maintain softness, but once capsular contracture develops, massage alone is unlikely to reverse the condition.
Surgical Treatment for Capsular Contracture
Surgery remains the most effective treatment for moderate-to-severe capsular contracture. The procedure is typically performed under anesthesia and may involve:
- Removal of the implant
- Removal of the surrounding scar tissue (capsulectomy)
- Placement of a new implant, if desired
- Adjustment of the implant pocket
In some cases, a drain may be placed temporarily to support healing.
Patients may choose to replace their implants with the same size, go larger, or go smaller. If a smaller implant is selected, a breast lift may be recommended to address excess skin and maintain a balanced contour.
Capsular Contracture and Radiation Therapy
Patients who have undergone radiation therapy, particularly following breast cancer reconstruction, have a higher risk of developing capsular contracture. In these cases, additional techniques—such as tissue flaps, fat grafting, or dermal matrices—may be used to improve outcomes and reduce the risk of recurrence.
Dr. Jaibaji will discuss personalized strategies based on your medical history and reconstructive needs.
Recurrent Capsular Contracture
Capsular contracture can recur even after surgical correction. Recurrent cases require a more advanced and individualized approach.
Treatment options may include:
- Repeat capsulectomy with modification of the implant pocket
- Creation of a new implant pocket (neopocket)
- Use of acellular dermal matrix (ADM) for added support
- Selective use of medications in certain cases
Careful surgical planning and postoperative management can help reduce the likelihood of recurrence.
What Affects the Cost of Capsular Contracture Treatment?
The cost of treatment depends on the severity of the condition and the complexity of the surgical correction. Factors such as implant replacement, use of advanced techniques, and facility fees all contribute to the overall cost. A detailed, personalized estimate will be provided during your consultation, and financing options may be available to assist with planning.
Why Choose Jaibaji Plastic Surgery for Capsular Contracture Treatment?
Treating capsular contracture requires both technical precision and a deep understanding of breast anatomy and healing. At Jaibaji Plastic Surgery, patients are treated by Dr. Moneer Jaibaji, a diplomate of the American Board of Plastic Surgery with extensive experience in complex breast surgery and revision procedures. His approach focuses on restoring comfort, improving aesthetics, and minimizing recurrence.
Located in Coronado and serving patients throughout San Diego, the practice offers a boutique, highly personalized environment where patient safety, discretion, and refined results are prioritized. Each treatment plan is tailored to the individual to achieve the most natural and lasting outcome possible.
Breast Implant Scar Removal in San Diego & Coronado, CA
Capsular contracture treatment can restore comfort, improve breast appearance, and address complications from prior breast augmentation. At Jaibaji Plastic Surgery, patients receive expert care from a double-board-certified plastic surgeon, Dr. Moneer Jaibaji, in a private and supportive setting. To learn more or schedule a consultation, call 619-435-1736 today.
