{"id":117865,"date":"2026-05-07T14:16:47","date_gmt":"2026-05-07T14:16:47","guid":{"rendered":"https:\/\/mallorcamedicalgroup.com\/blog\/uncategorized\/capsular-contracture-in-breast-implants-causes-degrees-and-treatment-options\/"},"modified":"2026-10-31T08:56:14","modified_gmt":"2026-10-31T08:56:14","slug":"capsular-contracture-in-breast-implants-causes-degrees-and-treatment-options","status":"publish","type":"post","link":"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/capsular-contracture-in-breast-implants-causes-degrees-and-treatment-options\/","title":{"rendered":"Capsular Contracture in Breast Implants: Causes, Degrees and Treatment Options"},"content":{"rendered":"<p><script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/mallorcamedicalgroup.com\/blog\/contractura-capsular-implantes-mamarios-guia-completa\/\",\n      \"url\": \"https:\/\/mallorcamedicalgroup.com\/blog\/contractura-capsular-implantes-mamarios-guia-completa\/\",\n      \"name\": \"Contractura Capsular: Causas, S\u00edntomas, Grados y Tratamiento | Mallorca Medical Group\",\n      \"description\": \"Gu\u00eda m\u00e9dica completa sobre la contractura capsular en implantes mamarios: clasificaci\u00f3n de Baker, s\u00edntomas por grado, opciones de tratamiento quir\u00fargico y medidas preventivas.\",\n      \"inLanguage\": \"es\",\n      \"datePublished\": \"2026-05-07\",\n      \"dateModified\": \"2026-05-07\",\n      \"author\": {\n        \"@type\": \"Physician\",\n        \"@id\": \"https:\/\/mallorcamedicalgroup.com\/equipo\/dr-garcia-ceballos\/\"\n      },\n      \"publisher\": {\n        \"@type\": \"Organization\",\n        \"@id\": \"https:\/\/mallorcamedicalgroup.com\/\"\n      },\n      \"medicalAudience\": {\n        \"@type\": \"MedicalAudience\",\n        \"audienceType\": \"Patient\"\n      }\n    },\n    {\n      \"@type\": \"Physician\",\n      \"@id\": \"https:\/\/mallorcamedicalgroup.com\/equipo\/dr-garcia-ceballos\/\",\n      \"name\": \"Dr. Jos\u00e9 Ignacio Garc\u00eda Ceballos\",\n      \"description\": \"Cirujano Pl\u00e1stico, Est\u00e9tico y Reparador. FCCP \u00b7 MRCS I England. Formaci\u00f3n especializada en UZ Brussel (VUB), B\u00e9lgica. Fundador de Mallorca Medical Group.\",\n      \"url\": \"https:\/\/mallorcamedicalgroup.com\/equipo\/dr-garcia-ceballos\/\",\n      \"worksFor\": {\n        \"@type\": \"Organization\",\n        \"name\": \"Mallorca Medical Group\",\n        \"url\": \"https:\/\/mallorcamedicalgroup.com\/\"\n      },\n      \"address\": {\n        \"@type\": \"PostalAddress\",\n        \"streetAddress\": \"Cam\u00ed Vileta 46C\",\n        \"addressLocality\": \"Palma de Mallorca\",\n        \"addressCountry\": \"ES\"\n      },\n      \"telephone\": \"+34971254686\",\n      \"medicalSpecialty\": \"PlasticSurgery\"\n    },\n    {\n      \"@type\": \"Organization\",\n      \"@id\": \"https:\/\/mallorcamedicalgroup.com\/\",\n      \"name\": \"Mallorca Medical Group\",\n      \"url\": \"https:\/\/mallorcamedicalgroup.com\/\",\n      \"logo\": \"https:\/\/mallorcamedicalgroup.com\/wp-content\/uploads\/logo-mmg.png\",\n      \"telephone\": \"+34971254686\",\n      \"address\": {\n        \"@type\": \"PostalAddress\",\n        \"streetAddress\": \"Cam\u00ed Vileta 46C\",\n        \"addressLocality\": \"Palma de Mallorca\",\n        \"addressCountry\": \"ES\"\n      }\n    },\n    {\n      \"@type\": \"FAQPage\",\n      \"mainEntity\": [\n        {\n          \"@type\": \"Question\",\n          \"name\": \"\u00bfCu\u00e1les son los s\u00edntomas de la contractura capsular?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Los s\u00edntomas m\u00e1s frecuentes incluyen endurecimiento progresivo del implante, sensaci\u00f3n de tensi\u00f3n o presi\u00f3n en la zona mamaria, cambios en la forma o posici\u00f3n del implante y, en grados avanzados, dolor o malestar continuo. La aparici\u00f3n de s\u00edntomas debe motivar una valoraci\u00f3n m\u00e9dica especializada.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"\u00bfQu\u00e9 grados tiene la contractura capsular seg\u00fan la escala de Baker?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"La escala de Baker distingue cuatro grados: grado I (implante blando y aspecto natural), grado II (ligero endurecimiento sin deformidad visible), grado III (endurecimiento evidente con deformidad visible), y grado IV (implante duro, doloroso y con marcada distorsi\u00f3n est\u00e9tica). Los grados III y IV requieren intervenci\u00f3n quir\u00fargica.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"\u00bfQu\u00e9 diferencia hay entre capsulotom\u00eda y capsulectom\u00eda?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"La capsulotom\u00eda consiste en realizar incisiones en la c\u00e1psula fibrosa para liberar la tensi\u00f3n sin extirparla, reserv\u00e1ndose para casos seleccionados. La capsulectom\u00eda implica la extirpaci\u00f3n completa o parcial de la c\u00e1psula; es el procedimiento de elecci\u00f3n en grados avanzados o cuando se sospecha BIA-ALCL. La indicaci\u00f3n de una u otra opci\u00f3n depende de la valoraci\u00f3n individualizada del cirujano.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"\u00bfSe puede prevenir la contractura capsular?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"No existe ninguna medida que garantice su prevenci\u00f3n absoluta, pero diversos factores pueden reducir el riesgo: elecci\u00f3n adecuada del plano de colocaci\u00f3n del implante, implantes con superficies texturizadas o nanotexturizadas seg\u00fan cada caso, t\u00e9cnica quir\u00fargica depurada con m\u00ednima contaminaci\u00f3n bacteriana, y seguimiento postoperatorio riguroso. La valoraci\u00f3n preoperatoria individualizada es fundamental para minimizar el riesgo en cada paciente.\"\n          }\n        }\n      ]\n    }\n  ]\n}\n<\/script><\/p>\n<article>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 ez-toc-wrap-left counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Tabla de Contenidos<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/capsular-contracture-in-breast-implants-causes-degrees-and-treatment-options\/#Capsular_Contracture_in_Breast_Implants_Causes_Grades_and_Treatment_Options\" >Capsular Contracture in Breast Implants: Causes, Grades, and Treatment Options<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/capsular-contracture-in-breast-implants-causes-degrees-and-treatment-options\/#What_is_capsular_contracture_and_why_does_it_occur\" >What is capsular contracture and why does it occur?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/capsular-contracture-in-breast-implants-causes-degrees-and-treatment-options\/#Baker_Classification_The_Four_Grades_of_Capsular_Contracture\" >Baker Classification: The Four Grades of Capsular Contracture<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/capsular-contracture-in-breast-implants-causes-degrees-and-treatment-options\/#Symptoms_that_should_prompt_a_medical_assessment\" >Symptoms that should prompt a medical assessment<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/capsular-contracture-in-breast-implants-causes-degrees-and-treatment-options\/#Treatment_options_capsulotomy_capsulectomy_and_implant_replacement\" >Treatment options: capsulotomy, capsulectomy, and implant replacement<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/capsular-contracture-in-breast-implants-causes-degrees-and-treatment-options\/#Risk_factors_and_strategies_to_minimize_them\" >Risk factors and strategies to minimize them<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/capsular-contracture-in-breast-implants-causes-degrees-and-treatment-options\/#Capsular_contracture_in_the_context_of_revision_breast_surgery\" >Capsular contracture in the context of revision breast surgery<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/capsular-contracture-in-breast-implants-causes-degrees-and-treatment-options\/#Frequently_asked_questions_about_capsular_contracture\" >Frequently asked questions about capsular contracture<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/capsular-contracture-in-breast-implants-causes-degrees-and-treatment-options\/#What_are_the_symptoms_of_capsular_contracture\" >What are the symptoms of capsular contracture?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/capsular-contracture-in-breast-implants-causes-degrees-and-treatment-options\/#What_are_the_grades_of_capsular_contracture_according_to_the_Baker_scale\" >What are the grades of capsular contracture according to the Baker scale?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/capsular-contracture-in-breast-implants-causes-degrees-and-treatment-options\/#What_is_the_difference_between_capsulotomy_and_capsulectomy\" >What is the difference between capsulotomy and capsulectomy?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/capsular-contracture-in-breast-implants-causes-degrees-and-treatment-options\/#Can_capsular_contracture_be_prevented\" >Can capsular contracture be prevented?<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h1><span class=\"ez-toc-section\" id=\"Capsular_Contracture_in_Breast_Implants_Causes_Grades_and_Treatment_Options\"><\/span>Capsular Contracture in Breast Implants: Causes, Grades, and Treatment Options<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p>Capsular contracture is the most frequent complication associated with breast implants and, at the same time, one of the greatest concerns for patients considering or who have already undergone breast augmentation surgery. A proper understanding of it\u2014from pathophysiology to current therapeutic options\u2014allows for informed decision-making and the establishment of realistic expectations. This guide, developed from the clinical perspective of Mallorca Medical Group, addresses the essential aspects that every patient should know before and after undergoing breast surgery with implants.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_is_capsular_contracture_and_why_does_it_occur\"><\/span>What is capsular contracture and why does it occur?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>When any foreign material is implanted into the body, the immune system naturally generates an encapsulation response: a layer of fibrous tissue that surrounds the implant and isolates it from the surrounding environment. This process is physiological and expected. The problem arises when that fibrous capsule\u2014instead of remaining thin and flexible\u2014progressively contracts and hardens, compressing the implant and altering its appearance and texture.<\/p>\n<p>The exact causes are not always identifiable, but scientific evidence points to several factors that increase the risk: the presence of low-virulence bacterial biofilm around the implant, postoperative hematoma or seroma, implant rupture, smooth implant surface and certain individual patient characteristics. The plane of placement &#8211; submuscular, subglandular or dual plane &#8211; also influences the incidence, with the submuscular plane showing statistically lower rates of contracture in most of the available studies.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Baker_Classification_The_Four_Grades_of_Capsular_Contracture\"><\/span>Baker Classification: The Four Grades of Capsular Contracture<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The <a href=\"https:\/\/mallorcamedicalgroup.com\/en\/https-www-mallorcamedicalgroup-com-elevacion-pecho-mastopexia-mallorca\/\" target=\"_blank\" rel=\"noopener\">Baker scale<\/a> remains the reference classification system in clinical practice for staging capsular contracture. This scale distinguishes four grades with well-differentiated diagnostic and therapeutic implications:<\/p>\n<ul>\n<li><strong>Grade I:<\/strong> The breast has a normal appearance and consistency. The implant is not noticeable to the touch. There are no symptoms or deformity. This grade does not require any intervention.<\/li>\n<li><strong>Grade II:<\/strong> There is a slight hardening detectable to the touch, but without visible alteration of the shape or position of the implant. Generally asymptomatic. Periodic clinical follow-up is the standard procedure.<\/li>\n<li><strong>Grade III:<\/strong> Moderate to evident hardening, with visible deformity of the implant\u2014which may appear rounder, elevated, or displaced\u2014although without significant pain at rest. Active therapeutic measures are usually indicated at this stage.<\/li>\n<li><strong>Grade IV:<\/strong> Very hard implant, with marked esthetic distortion and pain on pressure or even at rest. It is the most advanced grade and the one that most frequently requires surgical reintervention.<\/li>\n<\/ul>\n<blockquote><p>&#8220;Capsular contracture does not always progress in a linear fashion, nor do all grades require the same therapeutic response. Each patient presents anatomical characteristics, an individual fibrotic response and specific expectations that must be evaluated in a personalized way before deciding on any treatment plan.&#8221;<\/p>\n<p><cite>&#8211; <a href=\"https:\/\/mallorcamedicalgroup.com\/en\/about-us\/dr-garcia-ceballos\/\" target=\"_blank\" rel=\"noopener\">Dr. Garc\u00eda Ceballos FCCP<\/a>, Plastic Surgeon at Mallorca Medical Group<\/cite><\/p><\/blockquote>\n<h2><span class=\"ez-toc-section\" id=\"Symptoms_that_should_prompt_a_medical_assessment\"><\/span>Symptoms that should prompt a medical assessment<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A significant number of patients with grade I or II capsular contracture do not experience perceptible discomfort. However, the appearance of any of the following symptoms should prompt a consultation with the plastic surgeon responsible for follow-up:<\/p>\n<ul>\n<li>Progressive hardening of the operated breast, especially if it is asymmetrical compared to the other side.<\/li>\n<li>Change in the shape of the implant: increased roundness, elevation, or displacement.<\/li>\n<li>Sensation of tension, pressure, or tightness in the breast area.<\/li>\n<li>Continuous pain or pain upon pressure at rest or during physical activity.<\/li>\n<li>Visible deformity without an apparent cause, especially if it appears late, years after the initial surgery.<\/li>\n<\/ul>\n<p>Early detection in the initial stages significantly expands the treatment options and reduces the complexity of an eventual reoperation. In the context of plastic surgery in Mallorca, systematic postoperative follow-up is a fundamental tool for the early identification of this complication.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Treatment_options_capsulotomy_capsulectomy_and_implant_replacement\"><\/span>Treatment options: capsulotomy, capsulectomy, and implant replacement<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The treatment of capsular contracture depends on the diagnosed grade, the patient&#8217;s symptoms, the time elapsed since the initial surgery, and the aesthetic goals. The main surgical options are:<\/p>\n<p><strong>Capsulotomy:<\/strong> Consists of making controlled incisions in the fibrous capsule to reduce tension without removing it. It is an option reserved for selected grade II-III cases with not very thick capsules. Its recurrence rate is higher than capsulectomy, so its indication requires individualized assessment.<\/p>\n<p><strong>Capsulectomy:<\/strong> It involves the complete (total) or partial removal of the fibrous capsule. In grades III and IV it is the most effective procedure and the one that offers the best long-term results. When there is suspicion of BIA-ALCL<a href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/breast-implant-disease-fact-or-myth\/\" target=\"_blank\" rel=\"noopener\">(Breast Implant Disease: Fact or Myth?<\/a> associated with breast implant), total en bloc capsulectomy is the standard indication. It is usually combined with replacement of the implant with a new one.<\/p>\n<p><strong>Implant exchange:<\/strong> In the context of capsulectomy, the exchange of the implant for one with different characteristics -different surface, profile or plane of placement- can contribute to reduce the risk of recurrence. The selection of the new implant should be individualized, considering the current breast anatomy, the patient&#8217;s preferences and the intraoperative findings.<\/p>\n<p><strong>Explantation without replacement:<\/strong> In patients who choose to remove the implants without replacing them, complete or partial capsulectomy is performed together, assessing the need for an associated mastopexy depending on the resulting breast volume and ptosis.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Risk_factors_and_strategies_to_minimize_them\"><\/span>Risk factors and strategies to minimize them<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Although no measure completely eliminates the risk of capsular contracture, current evidence allows for the identification of strategies that contribute to reducing it significantly:<\/p>\n<ul>\n<li><strong>Placement plane:<\/strong> Submuscular or dual-plane positioning reduces the rate of contracture compared to the subglandular plane in most available prospective studies.<\/li>\n<li><strong>Type of <a href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/asesor-de-revision-de-implantes-mamarios\/\" target=\"_blank\" rel=\"noopener\">implant<\/a> surface:<\/strong> Nanotextured or microtextured implants present different risk profiles than smooth or macrotextured implants, and the choice must be individualized based on the clinical context.<\/li>\n<li><strong>Refined surgical technique:<\/strong> Minimizing bacterial contamination during surgery, through strict antisepsis protocols and atraumatic handling of the implant, is one of the modifiable factors with the greatest impact.<\/li>\n<li><strong>Control of postoperative hematoma and seroma:<\/strong> The appearance of these complications significantly raises the risk of contracture, making their prevention and early treatment a priority.<\/li>\n<li><strong>Continuous postoperative follow-up:<\/strong> Periodic clinical monitoring allows for the identification of incipient changes before the contracture reaches advanced stages.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Capsular_contracture_in_the_context_of_revision_breast_surgery\"><\/span>Capsular contracture in the context of revision breast surgery<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Capsular contracture is one of the most frequent indications for revision or secondary breast surgery. For the best plastic surgeons in Spain with experience in secondary breast surgery, the approach to these types of cases requires meticulous planning: analysis of previous surgical history, imaging assessment\u2014especially breast ultrasound or MRI\u2014and an exhaustive evaluation of the current state of the breast tissues.<\/p>\n<p>At Mallorca Medical Group, the approach to revision surgery is based on an individualized preoperative assessment that considers not only the resolution of the complication, but also the optimization of the long-term aesthetic and functional outcome. Patient safety and realistic expectations guide every surgical decision in this type of procedure, which is often more technically complex than primary breast surgery.<\/p>\n<p>Patients with Trusted Plastic Surgery Clinics in Spain who have undergone surgery by other hands can also come in for assessment, without any inconvenience. The aim is always to offer the best possible treatment plan for each specific clinical situation.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Frequently_asked_questions_about_capsular_contracture\"><\/span>Frequently asked questions about capsular contracture<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"What_are_the_symptoms_of_capsular_contracture\"><\/span>What are the symptoms of capsular contracture?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The most frequent symptoms include progressive hardening of the implant, a sensation of tension or pressure in the breast area, changes in the shape or position of the implant and, in advanced stages, continuous pain or discomfort. The appearance of symptoms should prompt a specialized medical assessment.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"What_are_the_grades_of_capsular_contracture_according_to_the_Baker_scale\"><\/span>What are the grades of capsular contracture according to the Baker scale?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The Baker scale distinguishes four grades: grade I (soft implant and natural appearance), grade II (slight hardening without visible deformity), grade III (evident hardening with visible deformity), and grade IV (hard, painful implant with marked aesthetic distortion). Grades III and IV require surgical intervention in most cases.<\/p>\n<h3><img decoding=\"async\" class=\"aligncenter wp-image-110085\" src=\"https:\/\/mallorcamedicalgroup.com\/wp-content\/uploads\/2026\/05\/Captura-de-pantalla-2026-05-07-124352-300x121.png\" alt=\"Grades of breast ptosis: mild, moderate, severe and pseudoptosis.\" width=\"347\" height=\"140\" title=\"\" srcset=\"https:\/\/mallorcamedicalgroup.com\/wp-content\/uploads\/2026\/05\/Captura-de-pantalla-2026-05-07-124352-300x121.png 300w, https:\/\/mallorcamedicalgroup.com\/wp-content\/uploads\/2026\/05\/Captura-de-pantalla-2026-05-07-124352-1024x411.png 1024w, https:\/\/mallorcamedicalgroup.com\/wp-content\/uploads\/2026\/05\/Captura-de-pantalla-2026-05-07-124352-768x309.png 768w, https:\/\/mallorcamedicalgroup.com\/wp-content\/uploads\/2026\/05\/Captura-de-pantalla-2026-05-07-124352-1536x617.png 1536w, https:\/\/mallorcamedicalgroup.com\/wp-content\/uploads\/2026\/05\/Captura-de-pantalla-2026-05-07-124352-2048x823.png 2048w, https:\/\/mallorcamedicalgroup.com\/wp-content\/uploads\/2026\/05\/Captura-de-pantalla-2026-05-07-124352-scaled.png 2560w\" sizes=\"(max-width: 347px) 100vw, 347px\" \/><\/h3>\n<h3><span class=\"ez-toc-section\" id=\"What_is_the_difference_between_capsulotomy_and_capsulectomy\"><\/span>What is the difference between capsulotomy and capsulectomy?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Capsulotomy consists of making incisions in the fibrous capsule to release tension without removing it, and is reserved for selected cases. Capsulectomy involves the complete or partial removal of the capsule; it is the procedure of choice in advanced grades or when BIA-ALCL is suspected. The indication for one option or the other depends on the surgeon&#8217;s individualized assessment.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Can_capsular_contracture_be_prevented\"><\/span>Can capsular contracture be prevented?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>There is no measure that guarantees absolute prevention, but various factors can reduce the risk: appropriate choice of the implant placement plane, use of implants with suitable surfaces for each case, refined surgical technique with minimal bacterial contamination, and rigorous postoperative follow-up. Individualized preoperative assessment is essential to minimize the risk for each patient.<\/p>\n<p><strong>Are you experiencing hardening, change of shape or discomfort in your breast implants?<\/strong><\/p>\n<p>Request a personalized medical assessment with Dr. Garc\u00eda Ceballos FCCP at Mallorca Medical Group. Schedule your consultation at <a href=\"https:\/\/mallorcamedicalgroup.com\/en\/\" rel=\"noopener\">mallorcamedicalgroup.com<\/a> or call us at 971 254 686.<\/p>\n<p><em>Article written by Dr. Garc\u00eda Ceballos FCCP &#8211; Plastic, Aesthetic and Reconstructive Surgeon &#8211; Mallorca Medical Group &#8211; Palma de Mallorca<\/em><\/p>\n<\/article>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mallorca Medical Group presents a complete medical guide on capsular contracture in breast implants: Baker classification, symptoms by grade, surgical options (capsulotomy, capsulectomy, implant replacement) and prevention strategies. Written by Dr. Garcia Ceballos FCCP.<\/p>\n","protected":false},"author":1,"featured_media":110142,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[115,177,353,446],"tags":[157,392,394,400,1262,1304,1316,1317],"class_list":["post-117865","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-plastic-surgery-en","category-mamas-en","category-el-mejor-cirujano-plastico-de-mallorca-en","category-la-mejor-clinica-de-estetica-de-mallorca-en","tag-breast-implants-en","tag-contractura-capsular-en","tag-mallorca-medical-group-en","tag-cirugia-plastica-mallorca-en","tag-cirugia-mamaria-en","tag-capsulectomia-en","tag-pecho-encapsulado-en","tag-recambio-protesis-en"],"_links":{"self":[{"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/posts\/117865","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/comments?post=117865"}],"version-history":[{"count":0,"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/posts\/117865\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/media\/110142"}],"wp:attachment":[{"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/media?parent=117865"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/categories?post=117865"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/tags?post=117865"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}