Capsular Contracture Revision

Scar tissue is a normal part of healing after any surgery, but some women may experience an excess of scar tissue growth around their breast implants following breast augmentation or reconstruction called capsular contracture. Although occurring in

Capsular Contracture Revision

Only a small percentage overall of breast augmentations, capsular contracture can range in severity from mild firmness to abnormal distortion of the breast shape and pain to the touch. Capsular contracture revision surgery can correct the altered shape and hardening of the breasts resulting from capsular contracture and relieve any accompanying discomfort. As a board certified plastic surgeon with over 25 years in active practice, Dr. Michael Halls is recognized as a leader in breast revision surgery throughout the San Diego area. Dr. Halls offers a full range of cosmetic and reconstructive breast enhancement procedures for women who want to improve their breast appearance and enjoy beautiful, natural-looking results.

Please contact us online or call La Jolla Breast Institute today at (858) 458-0100 to schedule your breast revision consultation.

Why Choose Dr. Halls

Dr. Halls graduated with honors from University of Western Ontario in Canada as a member of the prestigious Alpha Omega Alpha Medical Honor Society before going on to complete seven additional years of plastic surgery residency training, including two years spent at Harvard and Massachusetts General Hospital in Boston.

A board certified plastic surgeon in both the United States and Canada, Dr. Halls has authored several papers in respected medical journals and texts throughout his career, and is actively involved with a number of breast and plastic surgery societies. Today, Dr. Halls is a former Chief of Surgery at Sharp Grossmont Hospital and serves as the co-founder and chairman of Doctors Offering Charitable Services (DOCS).

Dr. Halls opened La Jolla Breast Institute so women could receive the education and expert guidance needed to make positive decisions about their breast enhancement and reconstructive procedures in a relaxed, comfortable environment. Dr. Halls and his staff are committed to a patient-first philosophy to ensure the utmost in care for any woman considering breast surgery.

About Capsular Contracture Revision

Despite its comparative rarity (affecting between 5 and 10 percent of all augmentations), capsular contracture remains one of the more troubling potential breast implant complications that can occur after breast augmentation or reconstruction surgery. The exact cause of capsular contracture is not fully understood, although there are a few factors that are generally accepted as likely primary contributors:

  • Silicone gel breast implants carry a higher risk of early onset capsular contracture, although both silicone gel and saline implants show similar long-term development rates.
  • Smooth implants are more prone to capsular contracture compared to textured implants.
  • Subglandular (over the muscle) placement of implants is more likely to result in capsular contracture than submuscular placement.
  • Infection resulting from the introduction of bacteria during surgery can lead to excessive scar tissue growth around the implant.
  • Capsular contracture seems to occur more frequently when periareolar incisions are used, possibly as a result of an increased exposure to bacteria from proximity to milk ducts.
  • Rates of capsular contracture are higher following reconstructive breast surgery  compared to cosmetic breast enhancement due to the use of radiation in the overall treatment of breast cancer.

Capsular contracture is not always consistent. Development may occur shortly after breast procedures, or appear many years after an initial surgery. Additionally, there are four different grades of capsular contracture, not all of which require breast surgery revision to correct:

  • Grade I: The breast looks and feels normal in shape and texture.
  • Grade II: Breast may feel slightly firm, but looks normal.
  • Grade III: Breast feels firm and looks abnormal.
  • Grade IV: The breast feels hard and even painful, and looks abnormal.

Surgical correction is typically necessary only for Grade III and Grade IV capsular contracture, and the approach Dr. Halls takes will depend on a number of different factors. Dr. Halls will discuss a surgical strategy to relieve the contracture, which may include replacing your existing implants.


Visiting our patient photo gallery  to see real women before and after undergoing capsular contracture revision surgery can give you a better idea of what kind of results you can expect to see after your own procedure. You can also find answers to commonly asked questions about revision surgery in our Breast Revision FAQs.

Capsular Contracture Revision Pricing

The cost of capsular contracture revision surgery varies according to the approach Dr. Halls takes during surgery and whether he will be removing and/or replacing your existing implants. The total price includes Dr. Halls’ surgical fee, the cost for the surgical facility, and anesthesiologist fees. After your consultation Dr. Halls’ staff will discuss surgical costs with you, including information about procedures that may be allowed by your insurance plan or are self-pay, so you can make an informed decision before moving forward.

Recovery & Results

You can expect the post-operative recovery of your capsular contracture revision to be similar to the recovery of your initial breast augmentation, although many patients find revision surgery to involve less discomfort than the original procedure. Your recovery time will depend upon the complexity of your procedure, although most women can expect to return to normal activities within 7 to 10 days. Dr. Halls may ask you to wear an elastic bandage or special bra for extra support and to help you feel more comfortable during the early stages of recovery. You will also be provided with detailed post-operative care instructions and given a date for your first follow-up appointment.

As swelling dissipates, you should notice a relief from the tightening and discomfort caused by the contracture for breast augmentation results that look and feel flattering, soft and natural.