Problems can occur after breast enhancement or reconstruction surgery as the body naturally forms a wall or capsule of scar tissue around the implant. This can become firm or develop a contracture, which puts pressure on the implant. In extreme cases the implant can rupture. A consultant will accurately assess the level of surgery required as the procedure can involve a partial or total replacement of the capsule as breast size and the properties of the capsule vary from patient to patient.
Partial replacement, known as a capsulotomy, involves an incision to remove part of the capsule or release tension on the surface of the breast to break up the scar tissue. The surgery takes around two to three hours and is performed under general anaesthetic with patients possibly staying a day in hospital post surgery. Recovery periods vary depending on the extent of the surgery but periods of rest and a gradual return to work and everyday activities are recommended.