6 doctors weighed in:
What causes breasts to get really hard after breast implant?
6 doctors weighed in

Dr. Christopher Khorsandi
Surgery - Plastics
1 doctor agrees
In brief: capsule.
All patients who undergo breast augmentation surgery will have the implant called off by the body in a tissue called a capsule.
In some patients the body forms a hard capsule around the implant. The cause of this is currently debatable however it appears that a low-grade infection may be occurring in these patients which leads to hardening of the capsule.

In brief: capsule.
All patients who undergo breast augmentation surgery will have the implant called off by the body in a tissue called a capsule.
In some patients the body forms a hard capsule around the implant. The cause of this is currently debatable however it appears that a low-grade infection may be occurring in these patients which leads to hardening of the capsule.
Dr. Christopher Khorsandi
Dr. Christopher Khorsandi
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Dr. Tom Pousti
Surgery - Plastics
1 doctor agrees
In brief: Scar Tissue
Every breast implant placed will develop a thin layer of scar tissue around it; this is called a “capsule”.
If this layer of scar tissue becomes thickened or calcified, it will likely cause the underlying breast implant to feel harder. This pathophysiologic processes called capsular contraction or breast implant encapsulation. Diagnosis is made clinically and initial treatment may include meds.

In brief: Scar Tissue
Every breast implant placed will develop a thin layer of scar tissue around it; this is called a “capsule”.
If this layer of scar tissue becomes thickened or calcified, it will likely cause the underlying breast implant to feel harder. This pathophysiologic processes called capsular contraction or breast implant encapsulation. Diagnosis is made clinically and initial treatment may include meds.
Dr. Tom Pousti
Dr. Tom Pousti
Thank
Dr. Otto Placik
Surgery - Plastics
1 doctor agrees
In brief: Scar tissue capsule
For reasons we do not completely understand, the scar tissue around an implant may begin to shrink and contract making the implant feel hard.
We call this a capsular contracture. The implant itself does not become hard. A silly analogy is to compare the feeling of the thighs when you put on a pair of blue jeans that have shrunken in the wash. It makes your thigh feel harder than it really is!

In brief: Scar tissue capsule
For reasons we do not completely understand, the scar tissue around an implant may begin to shrink and contract making the implant feel hard.
We call this a capsular contracture. The implant itself does not become hard. A silly analogy is to compare the feeling of the thighs when you put on a pair of blue jeans that have shrunken in the wash. It makes your thigh feel harder than it really is!
Dr. Otto Placik
Dr. Otto Placik
Thank
Dr. Joseph Mele
Surgery - Plastics
In brief: Depends on timing
Immediate hardening may be due to bleeding and should be promptly addressed.
Delayed hardening is most likely due to capsular contracture -- tightening of the pocket around the implant. In its most severe form capsular contracture can lead to severe hardening, distortion of the breast and even pain. Capsular contracture is reversed with surgical release of the scar.

In brief: Depends on timing
Immediate hardening may be due to bleeding and should be promptly addressed.
Delayed hardening is most likely due to capsular contracture -- tightening of the pocket around the implant. In its most severe form capsular contracture can lead to severe hardening, distortion of the breast and even pain. Capsular contracture is reversed with surgical release of the scar.
Dr. Joseph Mele
Dr. Joseph Mele
Thank
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