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Dr. Linder's Blog


Posted On: December 30, 2009 Author: The Office of Dr. Stuart Linder Posted In: Breast Revision

Breast Revision: Capsular Contracture

What is capsular contracture?  Capsular contracture is simply scar tissue hardening around implants in which the patient can have severely disfigured and painful breasts.  We see this every week, as Dr. Linder specializes in breast revision surgery, seeing patients both in his Beverly Hills office as well as in Las Vegas

Capsular contracture is associated with scar tissue.  Scar tissue is associated with three components.  The capsule hardening is associated with collagen, myofibroblast and blood vessels which can all harden around an implant, the prosthetic device which can lead to severe encapsulation and painful breast deformity and disfigurement.  Please refer to to look at the galleries of capsular contracture patients.

Before Photo(another doctor) After (Dr Linder)

Before Photo (another doctor) After Photo (Dr Linder)

There are four classes of capsular contracture referred to as Baker scale.  Baker I is no capsular contracture with a soft, viable breast.  Baker II is a palpable capsular contracture where it feels hard, but there is no disfigurement.  Baker III is disfigured hard and palpably hard breasts.  Baker IV is considered the worst in which there is disfigurement, hardening, pain and an often cold, tight scar tissue contracted breast, often associated with superior retroposition of the implant with severe tenderness even with mild palpation. 

Capsular contracture is one of the most leading causes of revision breast surgery for both breast augmentation and breast cancer reconstruction.  Only Board Certified Plastic and Reconstruction Surgeons should be performing these difficult revision surgeries.  Dr. Linder looks forward to seeing patients in 2010 for their breast revision and breast augmentation needs.