Targeted Right Capsulectomy to Restore Softness in Breast Augmentation Revision*

Our patient is a 56-year-old Middle Eastern female who weighed 139 lbs at the time of surgery. She came to Dr. Timothy Katzen 2 years after her original breast augmentation.  Over time, some patients can develop changes around an implant, including a firm or tight capsule of scar tissue that forms naturally around the implant as part of the body’s healing response.  When that capsule becomes thick, tight, or uncomfortable, or when it begins to distort breast shape, a capsulectomy can be recommended to remove the problematic scar tissue and help restore a softer, more natural contour.  In this case, Dr. Katzen performed a right breast capsulectomy as a specialized breast implant revision procedure to improve the feel, shape, and overall symmetry.  Under general anesthesia, Dr. Katzen reopened the prior incision as discreetly as possible to access the implant pocket while minimizing additional scarring.  He then carefully identified the capsule, which is the internal layer of scar tissue surrounding the implant.  A capsulectomy involves separating that capsule from the surrounding breast tissue and removing it in a controlled, meticulous manner.  This step is important because it addresses the source of tightness and contour irregularity rather than simply adjusting the implant alone.  Once the capsule was removed from the right breast, Dr. Katzen evaluated the implant pocket for balance and stability, checked the implant itself, and refined the internal space so the implant could sit in a more comfortable, natural position.  Depending on what is found intraoperatively, a surgeon may also irrigate the pocket thoroughly and adjust the internal support to help reduce the chance of recurrent tightness and to improve long-term breast shape.  Because every patient’s anatomy and healing response are different, implant revision surgery requires careful attention to symmetry.  Dr. Katzen confirmed the breast contours in multiple positions and ensured that the right side matched as closely as possible with the left in projection, fold position, and overall breast mound shape.  The incision was closed in layers to reduce tension and support optimal healing, and postoperative care typically includes a supportive bra, activity restrictions during the early healing phase, and follow-up visits to monitor swelling and softness as the tissues settle.  These photos were taken two months after surgery, and our patient achieved remarkable results, with an improved right breast contour and a more natural feel and balance as healing continues.  As postoperative swelling continues to resolve over the following months, the breast often softens further and the final shape becomes even more refined.