Capsule Work in Newport Beach

Your implant capsule plays an important role in creating a quality breast appearance following your breast augmentation. Implant capsules occur naturally from scar tissue, and it helps create a pocket that holds your implants in place. However, complications with these capsules can develop, causing unsightly and painful breast deformities. Dr. Strawn can implement a variety of capsule work techniques depending on the cause of your poor breast appearance.

Reasons for Capsule Work

Capsular Contracture

Capsular contracture occurs when the scar tissue shell that naturally forms around the breast implant begins to constrict and squeeze the implant. Capsular contracture can cause symptoms ranging from a hard, tight appearance to intense pain and irritation. It is impossible to determine who will develop capsular contracture, but studies suggest that textured implants may minimize your risk.


Symmastia occurs when your implants begin to shift toward the midline of your chest. In mild cases, your implants are visible beyond the natural edges of your breasts. In more severe cases, your implants touch at the midline of the chest, creating the appearance of one breast. Lateral Shifting Lateral shifting is similar to symmastia, but instead of going to the midline, your implants shift toward the armpits. This can create a deflated appearance around the inner portion of the breasts.

Bottoming Out

Bottoming out occurs from a weakness in the implant pocket or low breast tissue. The weight of your implants, combined with gravity, can cause the implant to slip out of the breast implant pocket. This process leads to a visible implant edge below the inframammary crease. Bottoming out can occur slowly over time as your breast tissues weaken.

Types of Capsule Work


A capsulotomy creates an incision in the scar tissue shell that is causing your capsular contracture. This technique is typically used for more mild cases because it releases the scar tissue, relieving pressure from around the implant. It may improve breast symmetry in cases where the hardening of the breasts has lead to an unbalanced look.


A capsulectomy is used to treat moderate or severe cases of capsular contracture. During a capsulectomy, the entire scar tissue capsule layer is removed. This technique is especially beneficial for patients with thick, calcified capsules. You may choose to replace your smooth implants with textured implants to prevent future capsular contracture from forming.


Capsulorrhaphy is reserved for breast issues that are caused by capsules that aren’t tight enough. In cases of symmastia, lateral shifting, or bottoming out, implant malposition is usually caused by a loose implant pocket that doesn’t adequately hold the implant in place. A capsulorrhaphy places sutures around the capsule layer to reconstruct its shape and keep the implants in the correct location.

Your Breast Revision

At Scultura Plastic Surgery, we focus on providing hands-on care and customized treatment plans. Dr. Strawn is a leading expert in revision surgery and believes in using a combination of tools to create your ideal breast appearance. Dr. Strawn typically spends over an hour in consultation with each patient to develop a detailed, customized treatment plan. Patients often present with more than one issue that is causing their poor breast appearance. For this reason, multiple treatments are often required to get the most natural and beautiful results possible. If you are unhappy with the results of your breast augmentation, schedule your consultation with Dr. Strawn today. Contact our office at 949-612-7231 or fill out our online contact form for additional information.

Our Success Stories

I can’t thank you enough for the care and attention you have me over the last month. The work you do is so important. And, you excel at your work in every way possible. I am so grateful for the time you and Mrs. Hemkin took to talk with me to help me better understand my options. It was great comfort! I am doing well today because of the constant care you gave me. I hope all the good you do comes back to you.” – T.T. READ MORE...

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361 Hospital Rd Ste 221
Newport Beach, CA 92663
Phone: 949-612-7231
Fax: 949-612-7361
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