Breast implants can enhance confidence–but when capsular contracture develops, the tightening of scar tissue around the implant can cause discomfort, firmness, or visible distortion. At Dr. Paul Durand Plastic Surgery in Miami, FL, capsular contracture correction offers a safe, effective solution. Using advanced surgical techniques, Dr. Durand restores natural breast softness and shape with precision and care. A board-certified plastic and reconstructive surgeon trained at the Cleveland Clinic and Dallas Plastic Surgery Institute, Dr. Durand provides personalized, compassionate care tailored to your unique needs and goals.
Expertise in Capsular Contracture Correction: Precision Meets Compassion
Capsular contracture correction demands both surgical skill and artistic sensitivity. Dr. Durand excels at this balance. “We relieve discomfort while preserving beauty,” he explains. His experience in both aesthetic and reconstructive breast surgery allows him to carefully remove scar tissue–through capsulectomy or en bloc techniques–and minimize the risk of recurrence. At our Miami practice, Dr. Durand designs each procedure to restore comfort, improve softness, and refine breast shape naturally.
What Is Capsular Contracture?
Capsular contracture is a condition where the scar tissue (or capsule) that forms around a breast implant tightens abnormally, causing the implant to feel hard or appear misshapen. It’s graded on the Baker scale, with Grades III and IV often requiring surgical correction. Symptoms may include:
- Noticeable firmness
- Breast distortion or asymmetry
- Pain or tightness
Every case is unique. Dr. Durand conducts a comprehensive evaluation to confirm the diagnosis and create a personalized surgical plan that aligns with your anatomy and goals.
Common Reasons Patients Seek Correction
Patients pursue capsular contracture correction for a variety of reasons, including:
- Firmness or tightness causing discomfort
- Visible implant distortion
- Breast asymmetry or shifting
- Pain that interferes with daily life
- A desire to restore natural softness and appearance


Causes and Risk Factors
Several factors may contribute to capsular contracture:
- Hematoma or bleeding during or after surgery
- Bacterial contamination (biofilm) around the implant
- Implant rupture or leakage
- Genetics or autoimmune predisposition
- Prior radiation therapy
Understanding the cause helps Dr. Durand tailor a more effective treatment plan to reduce recurrence risk.
Is Capsular Contracture Correction Right for You?
You may be a good candidate if:
- You experience tightness, pain, or discomfort in your breasts
- Your implant appears distorted or asymmetrical
- You feel self-conscious about firmness or appearance
- You’re in overall good health and have realistic expectations
Dr. Durand will guide you through your options with clarity and care.
What to Expect During Surgery
Duration
Typically 1-2 hours
Anesthesia
General anesthesia
Procedure
Scar tissue is removed (capsulectomy or en bloc), and implants are replaced, removed, or combined with fat grafting or a lift
Aftercare
Compression garment is worn; detailed post-op instructions are provided
Dr. Durand’s Customized Treatment Options
At our Miami office, your consultation includes a detailed physical examination, imaging such as ultrasound or MRI if needed, a review of your medical and surgical history, and a thoughtful discussion of your symptoms and cosmetic goals.
Dr. Durand may recommend:
- Total capsulectomy to remove hardened scar tissue
- En bloc capsulectomy when appropriate
- Implant replacement, implant removal, or fat grafting for natural volume restoration
- Breast lift if sagging tissue is present
“We tailor each procedure to your anatomy and your comfort,” Dr. Durand notes.
Recovery and Results
Day 1-3
Soreness and swelling are expected; rest and gentle movement recommended
Week 1-2
Discomfort improves; compression helps with swelling
Week 3-4
Shape begins to refine; softness gradually returns
Months 2-6
Breasts settle into their final shape
6+ Months
Long-lasting comfort, balance, and confidence

Frequently Asked Questions About Capsular Contracture Correction
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Firmness, shape distortion, or discomfort may be signs. Dr. Durand can confirm with a consultation and imaging if needed.
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While recurrence is possible, Dr. Durand’s surgical techniques are designed to reduce that risk significantly.
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Not always. Dr. Durand determines the best approach based on your anatomy, goals, and safety.
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Yes. Options like a lift or fat grafting can restore a natural breast contour after removal.
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In some cases–especially when pain or deformity is present. Our team will help verify coverage.
Why Choose Dr. Durand for Capsular Contracture Correction in Miami
Dr. Paul Durand is a board-certified plastic surgeon with elite training from the Cleveland Clinic and Dallas Plastic Surgery Institute. He specializes in capsular contracture correction, offering tailored techniques such as capsulectomy and en bloc removal to address discomfort and restore natural breast contours. With extensive experience in complex breast revision surgeries, Dr. Durand combines technical precision with a compassionate, patient-first approach. His reputation for delivering consistently refined, natural-looking results makes him a trusted choice for women across Miami and South Florida seeking relief and renewed confidence.
Restore Comfort and Confidence with Expert Care in Miami
If you’re experiencing discomfort, firmness, or visible changes after breast augmentation, capsular contracture correction with Dr. Paul Durand in Miami, FL, can restore both comfort and appearance. With compassionate guidance and surgical precision, Dr. Durand helps patients achieve natural, confident results tailored to their individual goals. Schedule your private consultation today and take the first step toward relief and refinement–under the care of one of Miami’s most trusted breast revision experts.
After many years of being self conscious about myself I found the doctor that made me feel beautiful. I did plenty of research in doctors and not only was Dr. Paul Durand the best experienced, he was affordable, professional, the office was always spotless and he cared for me as a piece of art. I am lucky to have gone with a doctor that was very talented ! The office made the healing process very simple, they answered my questions, followed up with me, and remembered me every time I went in there. I wanna thank Kathy, yudith, Paola, Dr.Durand and the entire staff for the best plastic surgery experience .
Medically reviewed by Paul D. Durand, M.D. on
