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Breast Capsular Contracture Before and After Photos

One of the most common complications of breast augmentation surgery is capsular contracture. This occurs when the body’s natural healing response forms a scar capsule around the implant that tightness and may result in a firm/hard feeling breast with a shape change.

Capsular contracture can cause pain, discomfort, and changes in breast appearance. The severity can vary, with some experiencing minimal changes and others having significant distortion.

There are four grades of capsular contracture:

  • Grade 1: The breast is typically soft and looks natural
  • Grade 2: The breast is slightly firm, but looks normal
  • Grade 3: The breast is firm and looks abnormal
  • Grade 4: The breast is hard, painful and looks abnormal

Treatment typically involves surgical removal of the capsule and implant. In some cases, replacement implants and additional materials may be used. This surgery can restore a more natural look and feel to the breasts.

The following images show our examples of all grades and our patient’s journey through capsular contracture surgeries performed with before and after photos of implant removal and the capsules themselves. Capsules will present differently in each patient. These photos represent the capsules removed from these particular patient.

Every patient is unique, so please call our offices at 678-566-7200 to schedule a personalized consultation with Dr. Rudderman.

Here are some additional resources to help you:

Patient Case #6940

In these before and after breast implant removal and capsulectomy surgery pictures you see a 51 year old female with history of breast augmentation 20 years ago with 270 cc saline filled smooth implants. She had concerns regarding possibility of breast implant illness including palpitations, shortness of breath fatigue, brain fog (cognitive issues) with normal blood work and evaluation.

She underwent breast implant removal and capsulectomy, and has healed well with resolution of prior breast implant illness symptoms.

Individual Results May Vary.


Patient Case #891

Breast revision surgery to repair capsular contracture, replaced with 304cc gel implants | Age: 49

Individual Results May Vary.


Patient Case #897

Breast revision surgery to repair capsular contracture | Age: 28

Individual Results May Vary.


Patient Case #885

Breast revision surgery to repair capsular contracture, replaced with 304cc gel implants | Age: 63

Individual Results May Vary.


Patient Case #879

Breast revision surgery to repair capsular contracture | Age: 49

Individual Results May Vary.


Patient Case #873

Breast revision surgery for 43 yr old with breast implants for 10 years who developed severe asymmetry with capsular contracture, breast hardening and enlargement of the bilateral nipple areolar area. Breast revision surgery was performed to remove the capsule (capsulectomy), exchange the implants, pocket modification and a nipple areola reduction was performed (peri-areolar mastopexy).

Individual Results May Vary.


Patient Case #867

Breast revision surgery of 44 year old with breast implants for 17 years who developed asymmetry and Baker Grade IV capsular contracture (Grade IV indicates hard breast with visible distortion and pain/discomfort). Breast revision surgery was performed to remove the capsule, exchange the implants to restore pocket position and breast symmetry.

Individual Results May Vary.


Patient Case #861

Breast revision surgery of 42 yr old with breast implants for 11 years developed hardening and displacement of the right breast implant (capsular contracture). Breast revision surgery was performed to restore symmetry with pocket modification and breast implant exchange using 280cc silicone gel implants.

Individual Results May Vary.


Patient Case #6972

The before and after photos are of a 49 yr old patient who came to Dr. Rudderman for evaluation and consultation for breast implant removal of her 13-year-old, 425cc saline implants due to unresolved health issues over the years.  Breast implant removal and total capsulectomy was performed through an inframammary crease incision.  Results shown are 4 weeks post-op.

Individual Results May Vary.


Patient Case #6971

Before and after photos of a 58 year old patient came to Dr. Rudderman for evaluation and consultation for breast implant removal of 23 year old  implants and options for breast lift. Her 420cc saline breast implants were removed with total capsulectomy through an inframammary crease incision.  A breast lift was also performed with an Inverted T approach.  Results shown are 3 weeks post-op.

Individual Results May Vary.


Patient Case #2076

59 year old patient presented for evaluation and consultation for breast implant removal of her 25 year old silicone implants.  Patient was concerned with hardening, soreness and overall health.

Breast Implant removal with capsulectomy was performed through an inframammary incision.  Original implant size was 255cc silicone gel with Baker Grade IV capsular contracture and bilateral rupture.  Results are noted at 6 weeks post-op.

Individual Results May Vary.


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