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Capsular contracture is a condition sometimes affecting breast implants that should be treated by a trained and experienced breast surgeon. In Houston, Texas, capsular contracture is thoroughly diagnosed and carefully treated by board-certified plastic surgeon Dr. Abigail Rodriguez.
As a normal part of the healing process, your body creates a scar around a breast implant. This is the case for any type of implant (such as a prosthetic joint replacement) or foreign body (such as a piece of pencil lead). Your body naturally encapsulates the implant/foreign body by forming a scar around it. A normal scar or capsule is not harmful to your health. A normal capsule (scar) is thin, soft, and does not negatively impact the shape, position, or feel of the breast.
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If the capsule (scar) around a breast implant thickens too much, it can cause problems. This finding is called capsular contracture. The most common issue with capsular contracture is thickening and tightening of the scar around the breast implant. This can cause the breast to feel firm to the touch, but may still look normal in shape. The breast feels firm because the capsule over the implant is firm. The implant beneath the capsule is likely still as soft as when it was initially placed.
If capsular contracture worsens, the capsule (scar) may squeeze the implant, causing it to move in a particular direction. The breast may feel firm to the touch and appear too high or too round, or it may distort the overlying breast/nipple tissue. The implant shell may fold on itself, creating a weak spot that can increase the risk of implant rupture. Rarely, the most severe form of capsular contracture can cause discomfort.
The vast majority of capsular contracture cases occur within 1-2 years of breast implant placement. When capsular contracture happens long after breast implant placement surgery, it is often due to the implant being ruptured. Unfortunately, capsular contracture has a high recurrence rate and may require several approaches to minimize the risk of recurrence.
Why Choose Dr. Rodriguez?
Dr. Abigail Rodriguez blends advanced surgical expertise with refined artistry to create results that look natural, balanced, and enduring. Known for her compassion, transparency, and commitment to patient education and safety, she provides individualized care supported by a state-of-the-art facility, enhanced recovery protocols, and comprehensive follow-up—all designed to ensure you feel cared for, confident, and understood throughout your transformation.
Widely regarded as a top board-certified plastic surgeon in Houston and beyond, Dr. Rodriguez's excellence has been recognized by Newsweek as one of America's Best Plastic Surgeons and by Texas Super Doctors multiple times. She is trusted for her meticulous precision and genuine dedication to helping patients look and feel their most authentic and confident.
Dr. Rodriguez will recommend a specific surgical plan based on your situation, the severity of your capsular contracture, and your goals.
Since capsular contracture has a relatively high recurrence rate, Dr. Rodriguez may recommend a combination of the following treatment options:
Capsulectomy (removal of the thickened capsule or scar from around the breast implant)
Removing the current implant
Putting in a new implant, if desired
Moving the new implant to a different “pocket” in the breast (ex: under the muscle rather than over the muscle)
Placement of acellular dermal matrix or Galaflex (a product that acts as a “scaffold” that is gradually replaced by your own tissue and can help to block the capsule from thickening)
While we don’t understand all the details of how capsular contracture develops, we’re aware of several risk factors, including:
Implant rupture
Bacteria on the implant
Infection
Subglandular placement (over the muscle, rather than under the muscle)
Placement of the implant through any incision other than the lower breast crease incision
Excessive implant handling during placement
Dr. Rodriguez takes precautions to mitigate these risk factors and minimize your risk of developing capsular contracture. These precautions include:
Using an antibacterial solution to clean the implant and inside the breast pocket before and after placement
Using Galaflex as a protective barrier
Inserting the implant with a Keller funnel, designed to minimize contact of the implant with your skin and breast tissue, and to allow it to be placed with minimal handling and without touching the surgical gloves or drapes
Am I a Good Candidate for Capsular Contracture Treatment
If you are a woman in the Houston area, you may be a candidate for capsular contracture treatment with Dr. Rodriguez. It can be hard to know if you have capsular contracture, but Dr. Rodriguez can examine you and look for some findings of capsular contracture, including:
Displaced breast implants
Breast implants that feel firm
Misshapen or distorted breasts
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Capsular Contracture Recovery
After surgery to treat capsular contracture, you will have a bra placed around your chest during surgery. You should not wear an underwire bra until cleared by Dr. Rodriguez. Most patients can return to work within 2 weeks after surgery and resume exercise 6 weeks after surgery.
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Benefits of Capsular Contracture Treatment
Boosts confidence and comfort in daily activities and clothing
May relieve pain and discomfort caused by hardened scar tissue
Restores natural breast shape and softness for a more natural look and feel
Improves implant position by correcting distortion or asymmetry
Reduces tightness and stiffness in the breast area
Capsular Contracture Treatment Results
There is evidence that the asthma and allergy medication montelukast (Singulair) or zafirlukast can help reduce the risk that capsular contracture develops or worsens. Vitamin E may also help prevent the capsule from thickening. Dr. Rodriguez may recommend these as part of your comprehensive treatment plan, along with other measures like breast implant massage.
If capsular contracture recurs, it is most likely to occur within the first 1-2 years after surgery. It will not be immediately evident in the first few weeks after surgery. That is why it is essential to return for all follow-up appointments with Dr. Rodriguez to have your implants checked for signs of capsular contracture.
A silicone product, such as silicone sheets or silicone gel, is recommended to optimize the appearance of the scars on the breast skin.
A Reputation Built on Results
Had a little surgery on my ear to stitch up a tear. Dr Rodriguez and her staff made me feel so relaxed...
Janet James
Awesome experience !! Just like I read all those reviews dr Abigail makes you feel so comfortable and...
Romina Lopez
I had an amazing experience during my consultation with Dr. Abigail Rodriguez and her patient care coordinator,...
Britney Alexander
Tuve la bendición de ponerme en manos de la Dra. Abigail Rodríguez para mi abdominoplastia y liposucción,...
If you’re experiencing capsular contracture after a previous breast augmentation, you may be eligible to participate in our clinical study. This is an opportunity to receive advanced care supported by cutting-edge technology.
Paying for your procedure shouldn't stand in the way of feeling confident and comfortable in your skin. We offer flexible financing options, including CareCredit® and PatientFi®, to help make your treatment more manageable and accessible.
Our team will guide you through your options and support you during every step of your transformation.
Mild cases may remain stable or improve slightly, but moderate to severe capsular contracture usually requires surgical intervention. The condition can worsen without treatment, leading to increased discomfort and implant distortion.
Does capsular contracture affect both breasts equally?
Not necessarily. Capsular contracture can develop in one or both breasts, and the severity may differ between them. If only one breast is affected, treatment could focus on that side while leaving the other implant. In other instances, both breasts may require treatment to maintain symmetry.
Can I continue to use my old implants after capsular contracture treatment, or do I need new ones?
If you desire breast implants again, Dr. Rodriguez always recommends placing new breast implants when treating capsular contracture. Placing new implants has been shown to reduce the risk of capsular contracture recurrence.
Begin Your Transformation
Schedule a consultation with Dr. Abigail Rodriguez in Houston, at either our Post Oak or Memorial City location, for high-quality, personalized aesthetic enhancements. We are easily accessible to patients from Katy, The Woodlands, and the entire Greater Houston area.