Before & After Gallery

Capsular Contracture

The body naturally forms a layer of scar tissue around breast implants.  Implant massage helps to keep the breast soft by keeping the pocket open during the early post operative period.  Some people will form a thicker scar tissue layer around the breast implant which can then contract around the implant making the breast implant ride high on the chest and giving it a round and firm appearance with lack of mobility.  Capsular contraction is a consequence of the immune system trying to isolate a foreign body such as a pacemaker, artificial joint or a breast implant.  There are many factors thought to increase the incidence of capsular contraction however the cause often remains unknown.  Some of these contributing factors included bacterial contamination, rupture of the breast implant shell, and hematoma.  The contracture can affect one or both breasts and is classified using a four grade baker scale;

Grade I – No capsular contraction, the breast is soft and appears natural in size and shape

Grade II – The breast is a little firm, but appears normal

Grade III – The breast is firm and appears abnormal

Grade IV – The breast is hard, appears abnormal and is painful

Implant pocket revision with removal of the scar tissue with partial or complete capsulectomy is the treatment of choice. Placement of the breast implant partially below the muscle (subpectoral location) has less incidence of capsular contracture compared to above the muscle (subglandular location).  Patients with capsular contraction and implants in a subglandular position are often converted to a subpectoral position to help reduce the chance of a recurrent capsular contracture.  There are other advantages of placing the implant in a subpectoral position listed below.



Dr. Leber prefers to place the implants under the pectoral muscle in most cases.

What are the advantages of sub-pectoral (under-the-muscle) implant placement?
Less incidence of capsular contracture (scar tissue around the implant which makes the breast firm and distorts the breast shape)
Reduced noticeable edge of implant with less chest wall to breast transition
Better coverage of the implant in the upper pole and medially resulting in a smaller chance of skin wrinkling and visible implant rippling in these areas
Mammogram easier to perform with less implant interference

Phoenix and Scottsdale patients are encouraged to book a consultation to see what differentiates Dr. Leber from the other plastic surgeons in the area. We are confident that our friendly staff, highly-experienced surgeon and extensive collection of before-and-after pictures will demonstrate why Dr. Geoffrey Leber is one of the top choices for breast augmentation in Phoenix.

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