When breast implant surgery is performed under normal conditions, some kind of capsule forms around the place where the breast silicone is placed. This is a normal and expected reaction. More than usual hardening situation is called capsule contracture. As a result, deformity and pain can occur in the breast.

The capsule contracture ranges differently according to the severity of the hardening. In fact, the capsule doesn’t have to be just about breasts. A capsule can be formed around any foreign material placed in the body by any kind of operation such as dental prosthesis, hip prosthesis, heart battery etc. So, naturally, a capsule is formed around these silicones. But, if the capsule is exposed to excessive inflammation, accumulation of fluid inside, bacterial contamination, the capsule, which is normally be soft, becomes hardened. 

Capsule contracture can occur at any time within 3-12 months after applying the implant. There are 4 known types of capsule contracture:

1. In the first phase, the breast is normal-looking, soft. There is no change in size and shape.

2. There is a slight degree of stiffness in the second phase but the appearance is normal.

3. In the third phase breast is really hard and there is a deformity on the breast.

4. Breasts are very hard, very painful by handling, and the appearance is too deformed in the fourth phase.

The first two phases of capsule contractures usually do not require any surgery. They can be fixed by massage therapy. The third and fourth phases usually require surgery. In this operation, the capsule and implants are removed.