Capsular contracture is a condition that can occur after breast augmentation when scar tissue around the implant tightens. The severity of capsular contracture is classified into stages, which guide treatment decisions.
Understanding these stages can help patients recognize symptoms early and seek appropriate care. Board-certified plastic surgeon Dr. Bryson Richards provides breast revision to patients in Las Vegas, NV, and surrounding locations.
What Is Capsular Contracture?
After implant placement, the body forms a capsule of scar tissue around the implant. This is a normal process. However, when the capsule becomes overly tight, it can cause:
- Firmness or hardness
- Distortion of breast shape
- Pain or discomfort
The Baker Classification System
Capsular contracture is typically graded using the Baker scale, which includes four stages:
Stage I: Normal
- Breast feels soft and looks natural
- Capsule is present but not problematic
No treatment is needed at this stage.
Stage II: Mild
- Breast may feel slightly firm
- Appearance remains normal
Monitoring is usually recommended, but no intervention is typically required.
Stage III: Moderate
- Breast feels firm
- Visible changes in shape or distortion
At this stage, patients often consider treatment due to aesthetic concerns.
Stage IV: Severe
- Breast is hard, painful, and distorted
- Significant discomfort may be present
This stage usually requires surgical intervention.
How Severity Affects Treatment Options
Treatment depends on the stage and patient symptoms.
Early Stages (I–II)
- Observation and monitoring
- Non-surgical management in some cases
Moderate to Severe Stages (III–IV)
- Capsulectomy (removal of scar tissue)
- Implant replacement or removal
- Pocket adjustment
Surgical Treatment Options
Capsulectomy
Removal of the capsule to relieve tightness and restore shape.
Implant Exchange
Replacing the implant may reduce recurrence risk.
Pocket Change
Moving the implant to a different plane (such as under the muscle) may improve outcomes.
Can Capsular Contracture Be Prevented?
While not always preventable, risk can be reduced through:
- Careful surgical technique
- Proper implant selection
- Following post-operative care instructions
Capsular contracture ranges from mild to severe, and treatment depends on the stage. Early recognition and expert care can help restore comfort and natural breast appearance.
Contact Las Vegas Board Certified Plastic Surgeon Dr. Richards to Schedule a Consultation
If you would like more information on cosmetic surgery procedures and treatments performed by Las Vegas, Nevada plastic surgeon, Dr. Bryson Richards please contact us at 702.870.7070
Taking new patients from Las Vegas, Bullhead City, Laughlin, Pahrump, Mesquite NV and surrounding areas.