When any object is implanted in a person, the body naturally forms a lining or capsule around the implant.  This capsule is similar in to scar tissue and it can shrink or contract.  If the capsule contracts markedly it can squeeze your implant, resulting in distortion of the implant or make the breast feel firm (this is called “capsular contracture”).  It is important to note that the implant itself has not changed – rather it is the scar capsule squeezing the implant that changes the size, shape and feel of the implant.  If the capsule is removed, the implant will feel soft again. Unfortunately, the capsule can recur. Maneuvers which Dr. Summers believes to help reduce the formation of a thick/tight capsule are routinely followed at the Maryland Plastic Surgery Center.