How to Recognize Capsular Contracture

Posted on April 04th, 2017 by Dr. William Franckle

Results from capsular contracture by William Franckle, MD, FACS in Voorhees, NJFor most patients, a breast implant surgery involves minimal complications. A common occurrence (which is becoming less common with advanced techniques and modern technology) is a capsular contracture, which is when scar tissue forms in and around the implant. The feeling of a hardened breast, with or without pain, is a reason to further investigate for a capsular contracture.

What Causes a Capsular Contracture?

Currently, there is no hard evidence as to why a capsular contracture happens, but it is believed to be an immune response. When a foreign object is placed in the body (i.e. an implant), a capsule is formed around that object. For most, this capsule remains thin and does not affect the implant. For some, this capsule tightens around the implant, causing it to feel very firm and look distorted.

Identifying a Capsular Contracture

As mentioned earlier, the most obvious sign of a capsular contracture is a tight-feeling breast. This can occur in one breast or both, and can happen soon following the procedure or 10 years after the surgery. Universally, plastic surgeons use a grading scale to determine the condition of the implant.

– Grade I: The breast is of natural shape, size, and softness.

– Grade II: Slight firmness in the breast, however it appears normal in shape.

– Grade III: The breast is firm and there are abnormalities.

– Grade IV: The breast is hardened, may be painful, and has obvious abnormalities.

For patients that have had a breast augmentation, it’s important to pay attention to your body. Self-checks for firmness and symmetry in the breasts should be added to your routine following the operation.

Preventing Capsular Contracture

Modern advancements in plastic surgery, including sub-muscular positioning of the implants, higher quality implants, and a better understanding of capsular contracture, help surgeons take steps toward preventing capsular contracture.

Treating Capsular Contracture

The most common reason for a breast revision procedure is capsular contracture. There are non-surgical options available, depending on the ‘grade’ of the situation and the patient. An in-person consultation is needed to determine the best solution. If a breast revision surgery is recommended, both the capsular contracture and the affected implant are removed and a new implant is placed in the body.

Dr Franckle

Meet Dr. William Franckle Board Certified Plastic Surgeon

We know that you have many options when choosing a plastic surgeon. Dr. Franckle and his staff are dedicated to providing you with a caring and professional surgical experience. Time and time again our patients credit Dr. Franckle’s expertise and the kindness of our staff as the reason for choosing our practice. Dr. Franckle is board certified by the American Board of Plastic Surgery (ASPS), the only board recognized by the American Board of Medical Specialties to certify surgeons in the practice of plastic surgery. Attention to detail, meticulous skill, and an artistic eye make Dr. Franckle an expert in such procedures as rhinoplasty (nose job), breast augmentation (breast implants), abdominoplasty (tummy tuck), facelift, and non-surgical treatments (Botox and injectable fillers).

Dr. William Franckle Testimonials

👃🏻Looking for the stunning results that this Rhinoplasty patient received? Look no further! ⁠

👃🏻For more results check out the before and after gallery through the link in our bio, and while you’re there don’t forget to book your appointment! ⁠


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Our doctors will not talk you into a procedure that you do not want or are not ready for. It is vital to get all your questions and concerns on the table. You’ll share your medical history, describe any medications you’re taking, and discuss your objectives and expectations with the surgeon while he evaluates the region of your body you want to be treated.

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Call us to book your consultation today! 💌⁠



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Body contouring procedures can help address a combination of upper and lower body areas based on each patients’ aesthetic goals. William Franckle, MD, FACS can help you find your inner confidence with a custom body contouring solution. Learn more about common procedures. overall health goals, and outcome expectations.⁠

Call us to schedule your consultation today!⁠


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Gynecomastia is the medical term for enlarged breasts in men. Approximately 15 million males in the United States experience gynecomastia at any given time. It can be found in either one breast or both, and it can sometimes cause a noticeable imbalance in the size of the breasts. Though it is often a painless condition, men who suffer from it may experience feelings of embarrassment or shyness.⁠


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Body after Baby🤱🏼❗️⁠

Childbirth is a truly miraculous event, and you shouldn’t have to settle for a physique you find unsatisfying. With the Mommy Makeover, South Jersey and surrounding area moms can fight the physical effects of motherhood and shift their focus to the more magical elements of parenthood. ⁠

As with any invasive procedure, it is absolutely paramount that the patient be otherwise healthy before undergoing surgery. Dr. Franckle also advises that patients stop smoking prior to surgery to promote proper healing and recovery. It is also necessary to allow your body ample time to heal after childbirth before undergoing major surgery.⁠


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❗️FALSE❗️⁠


Fact: A facelift can reposition tissue and address the neck area in ways fillers cannot. However, fillers are excellent for adding lost facial volume and giving a boost to your skin. They’re a great short-term, nonsurgical way to fight the signs of aging. If you’re unsure about committing to a facelift, give facial fillers a try.⁠


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❗️Rhinoplasty results 👃🏻⁠


To see additional photos of our rhinoplasty patients, please schedule your personal consultation at the link in our bio.⁠



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William Franckle, MD, FACS offers advanced plastic surgery and non-surgical cosmetic treatments in New Jersey. All consultations and MedSpa services, including injectables, are held privately at our Voorhees clinic. Surgical procedures are performed at the Virtua Center for Surgery in Sewell under the care of board-certified plastic surgeon Dr. Franckle.

Contact our team today to learn more about our services and find the right one for you.

William Franckle, MD., FACS

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