CONTRACTURE

DIAGNOSIS OF CAPSULAR
Dr. John Diaz Capsular Contracture & Breast Revision Specialist

Capsular contracure is diagnosed based on the symptoms and the physical exam. Firmness of the breasts which has worsened over time is a sign of capsular contracture. Once capsular contracture is diagnosed, it is classified into a grade. The most commonly used system is the Baker Classification of Capsular Contracture. This classification system is summarized below. 

DIAGNOSIS OF CAPSULAR CONTRACTURE

There is no palpable capsule. The breast feels as soft as an unoperated one. 

 

This is normal and no treatment is necessary. 

BAKER GRADE 1

BAKER GRADE 2

There is minimal firmness. The breast is less soft, and the implant can be palpated. 

 

May improve with breast massages and/or medications. 

There is moderate firmness. The breast is harder, the implant can be easily felt, the implant can be easily seen and the breast shape is mildly distorted.

 

Surgery is usually necessary. Medications may soften the breast, but will not correct the condition. If not treated, may progress to Baker Grade 4.

BAKER GRADE 3

BAKER GRADE 4

This is severe contracture. The breast is hard, tender to the touch, painful and may feel cold. The breast shape is markedly distorted. 

 

Surgery is necessary to correct this.