Capsulectomy in Los Angeles

Capsular Contracture

Capsular contracture occurs when the scar tissue around the implant tightens excessively, causing the breast to feel firm, become distorted, or be a source of ongoing pain. This condition can range from mild firmness to severe discomfort and misshapen breasts. A capsulectomy helps by removing the hardened tissue, restoring comfort and a more natural breast appearance.

Implant Rupture or Leaking Implant

If a saline or silicone implant ruptures or leaks, the surrounding capsule may harden or become inflamed. In the case of silicone implants, leaked material may stay within the capsule or spread to surrounding tissue. A total or en bloc capsulectomy is often performed to remove the implant and surrounding scar tissue in one piece, preventing further complications.

Breast Implant Illness (BII) Symptoms

Some women with breast implants experience a range of systemic symptoms, often referred to as breast implant illness (BII). These symptoms may include chronic fatigue, joint pain, brain fog, and inflammation. While research is ongoing, some women report significant symptom relief after implant and capsule removal. A capsulectomy may be recommended for those seeking to remove the entire capsule and any potential contributing factors.

Implant Removal for Personal or Aesthetic Reasons

Some individuals choose to remove their implants permanently due to lifestyle changes, personal preference, or aesthetic concerns. In these cases, a capsulectomy ensures that all scar tissue is removed, promoting optimal healing and breast reshaping. Many patients opt for additional fat grafting or a breast lift to maintain natural-looking breast contours after implant removal.

Chronic Pain or Inflammation

Thickened or inflamed scar tissue can cause persistent discomfort, tightness, or restricted movement in the chest area. A capsulectomy helps by relieving pressure, restoring comfort, and improving breast softness and mobility.

Correcting Implant Displacement or Distortion

Over time, implants can shift, ripple, or bottom out, affecting breast shape and symmetry. If the capsule is too thick, uneven, or misshapen, it may interfere with the positioning of the breast implants. A capsulectomy, often combined with implant replacement or a breast lift, can restore a balanced, symmetrical appearance.

Immediately After Surgery (First 24-48 Hours)

• You will wake up from anesthesia in a comfortable recovery setting, with your chest wrapped in a surgical bra or compression garment.
• It is normal to feel mild to moderate discomfort, tightness, and swelling, particularly if a total or en bloc capsulectomy was performed.
• Pain is usually well-managed with prescription medication or over-the-counter pain relievers as recommended by Dr. Teitelbaum.
• Most patients can return home on the same day, but you will need someone to drive you and assist you with basic tasks.

Dr. Teitelbaum will provide detailed post-operative instructions, including guidance on incision care, activity restrictions, and follow-up appointments. 

First Week: Rest & Early Recovery

• Swelling and bruising may peak within the first 3 to 5 days before gradually subsiding.
• Patients may experience a sensation of tightness or pressure in the chest, particularly if a breast lift or implant replacement was performed.
• Light walking is encouraged to promote circulation and reduce the risk of blood clots, but strenuous activity should be avoided.
• If drains were placed, they are monitored and typically removed within a few days to a week.

Most patients can resume light daily activities but must avoid lifting, reaching overhead, or sleeping on their side or stomach.

Weeks 2-3: Gradual Return to Activities

• Pain and swelling will continue to subside, and bruising should significantly improve.
• Many patients feel comfortable returning to work if their job is not physically demanding.
• You may be able to start light cardio exercises, such as walking at a moderate pace, but upper body workouts and strenuous exercise should still be avoided.
• If non-dissolvable sutures were used, they may be removed at this time.

Weeks 4-6: Continued Healing & Improved Comfort

• By this stage, most swelling has subsided, and your final breast shape is starting to take form.
• Residual soreness or sensitivity is still normal but greatly reduced.
• Patients can gradually reintroduce strength training and more vigorous workouts, but chest-focused exercises should be approached cautiously.

Scars will begin to fade, but they may appear pink or slightly raised before softening over time. Dr. Teitelbaum will provide guidance on scar care techniques, such as topical treatments or silicone gel sheets, to optimize healing.

3-6 Months: Final Results

• Breasts should feel soft and natural, and any remaining swelling will have fully resolved.
• If implants were removed and not replaced, the skin may continue to retract and tighten for several months. Some patients may choose a breast lift or fat grafting to enhance contour and shape.
• Scars will continue to fade but may take up to a year to fully mature and flatten.

Long-Term Considerations

Results from capsulectomy alone or with implant removal last a lifetime, though natural aging, weight fluctuations, and hormonal changes can affect breast shape over time. New implants may be desired. Regular follow-ups with Dr. Teitelbaum ensure optimal healing and long-term satisfaction with your results.