Seeking Capsular contracture treatment in Turkey is a decisive step for women who are suffering from the physical discomfort and aesthetic distortion of a hardened breast implant. At Clinic Care Center, we understand that developing “rock hard” or painful breasts is not a failure on your part, but a complex biological immune response. Our goal is to provide advanced, scientifically-backed reconstructive solutions to remove the diseased tissue and restore the soft, natural feel you originally desired.
Do You Need Surgery? Understanding the 4 Grades
To determine the correct treatment path, we must first medically classify the severity of the hardening using the Baker Scale. This system helps us distinguish between a minor annoyance and a surgical necessity.
- Grade I: The breast feels soft and looks natural. This is the ideal result. No intervention is needed.
- Grade II: The breast is slightly firm to the touch but looks normal. Massage therapy or medication (like Singulair) may help, but surgery is usually not required yet.
- Grade III: The breast is firm, and the implant looks distorted (often round, high, or misshapen). The capsule is squeezing the implant. Surgery is highly recommended.
- Grade IV: The breast is hard, cold, deformed, and painful to the touch. This is a medical indication for immediate surgical intervention.
Clinic Care Center: Expert Warning (En Bloc)
Treating capsular contracture is not just about changing the implant. We must remove the diseased scar tissue causing the problem. For Grade III and IV cases, the Gold Standard is a Total Capsulectomy (En Bloc Removal). This means we remove the implant inside the scar capsule without opening it, ensuring that any bacteria or silicone rupture remains trapped inside the tissue. Leaving the capsule behind significantly increases the risk of the hardness returning.
Surgical Solutions: Capsulotomy vs. Capsulectomy
The success of the revision depends entirely on how the scar tissue is managed. Here is a breakdown of the techniques we utilize based on severity:
| Procedure | Technique | Success Rate against Recurrence |
|---|---|---|
| Open Capsulotomy | Scoring (slicing) the capsule to release tension and expand the pocket, but leaving the scar tissue inside the body. | Lower. Risk of recurrence is higher as the inflammatory scar tissue remains. |
| Partial Capsulectomy | Removing only the calcified or thickened parts of the capsule (usually the anterior/front wall). | Moderate. Often used when removing the back wall is too dangerous near the ribs/lungs. |
| Total Capsulectomy (En Bloc) | Complete removal of the entire scar pocket and implant as one unit. | Highest Success. Removes the bacterial biofilm source completely. |
| Implant Site Change | Moving the new implant from Sub-glandular (over muscle) to Sub-muscular (Dual Plane). | Very High. Muscle coverage increases blood supply and drastically reduces contracture risk. |
Preventing Recurrence: What We Do Differently
Science suggests that capsular contracture is often caused by a Biofilm—a microscopic layer of bacteria on the implant surface that triggers chronic inflammation. To prevent this from happening to your new implants, we employ strict “No-Touch” protocols:
- Keller Funnel: We use a sterile sleeve to insert the implant without it ever touching your skin, reducing bacterial contamination.
- Pocket Irrigation: The new pocket is flushed with a triple-antibiotic solution before the implant is placed.
- Implant Choice: We often recommend switching to Nano-textured surfaces (like Motiva SmoothSilk). Clinical data suggests these surfaces have a lower rate of contracture compared to traditional macro-textured implants, as they reduce friction and inflammation.
Frequently Asked Questions about Contracture
Will it come back?
The risk of recurrence is never zero because your body naturally forms scar tissue. However, performing a Total Capsulectomy and switching the implant plane (e.g., to under the muscle) reduces the recurrence rate significantly.
Can I just remove the implants?
Yes. Many women choose to “Explant” permanently. In this case, we remove the capsule and the implant. You will likely need a Mastopexy (Breast Lift) simultaneously to reshape the loose skin.
Is the surgery dangerous?
An En Bloc Capsulectomy is a complex procedure because the capsule may be adhered to the ribs or lungs. It requires a highly skilled reconstructive surgeon to peel the tissue away safely without causing bleeding or pneumothorax.
Does insurance cover it?
In the context of medical tourism, this is usually a self-pay procedure. However, if you have Grade IV contracture causing severe pain, some international insurance policies might provide partial coverage, though this is rare for overseas treatment.
Do I need drains?
Yes. Because we are removing a large surface area of tissue (the capsule), fluid collection is common. You will likely have surgical drains for 3 to 5 days to prevent seroma.
Can I use Singulair (medication)?
Medications like Montelukast (Singulair) are sometimes prescribed off-label for early Grade II contracture to soften the scar. They are generally ineffective for established Grade III or IV contracture.
Is the recovery painful?
The soreness is comparable to your initial augmentation, perhaps slightly more intense due to the extensive tissue work. Most patients manage well with oral painkillers and return to desk work in 5-7 days.
Softness and Comfort Restored.
You shouldn’t have to live with pain or hardness. At Clinic Care Center, our reconstructive surgeons are experts in En Bloc Capsulectomy to reset your anatomy and restore soft, natural breasts. Contact us today for a specialized assessment of your contracture grade.
Also Read:
Breast Augmentation
Breast Lifting
Breast Reduction
Breast Implant Removal
