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Today’s consultation patient presented to us with 10 year old breast implants, Baker Grade 4 capsular contracture and breast implant rippling also known as double-bubble deformity. There are four grades of capsular contracture - Baker Grades I through IV. The Baker grading is as follows: Grade I: the breast is normally soft and looks natural Grade II: the breast is a little firm but looks normal Grade III: the breast is firm and looks abnormal (visible distortion) Grade IV: the breast is hard, painful, and looks abnormal (greater distortion) The plan of surgery is to remove her breast implants, remove the capsules the body has formed around her existing implants (capsulectomy), and pocket correction of both breasts. Many people ask what a capsule is, simply put, it’s your immune/inflammatory response to a foreign body inside of you. Your body reacts by forming a barrier, scar tissue, around the implant and the rib cage causing tightening, hardness, and migration of the breast implant. Additional surgery may be needed to correct the capsular contracture. This surgery ranges from removal of the implant capsule tissue to removal (and possibly replacement) of the implant itself. Capsular contracture may happen again after this additional surgery. What are your questions about capsular contracture? Let us know! . . . #breastrevision #breastsurgery #bii #biiawareness #breastlift #enbloc #capsulectomy #topplasticsurgeon #drsiamakagha #plasticsurgery #medstudent #residency #plasticsresidency #medicaleducation #medtraining #medsurg #surgeryeducation #informeddecision #drsiamakagha #breastaugmentation #topplasticsurgeon #aesthetic #reconstructivesurgery #boobs #bodycontouring #sculpt #breastlift #breastrecon