{"id":671,"date":"2026-08-20T17:06:13","date_gmt":"2026-08-20T15:06:13","guid":{"rendered":"https:\/\/4beauty.de\/glossar\/implantat-kapselfibrose-korrektur\/"},"modified":"2026-08-28T11:53:40","modified_gmt":"2026-08-28T09:53:40","slug":"correction-of-implant-capsular-fibrosis","status":"publish","type":"glossary","link":"https:\/\/4beauty.de\/en\/glossar\/implantat-kapselfibrose-korrektur\/","title":{"rendered":"Capsular contracture correction following implant surgery: causes, treatment and financial cover"},"content":{"rendered":"<div class=\"wp-block-group is-style-boxed has-apricot-light-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Correction of implant capsular fibrosis<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">Capsular fibrosis (also known as capsular contracture) is a hardening of the scar tissue surrounding a breast implant. Depending on the Baker grade, treatment ranges from conservative management to capsulotomy (incision of the capsule) and, in severe cases, complete implant replacement with capsule removal (capsulectomy). Costs: \u20ac1,500\u20138,000; rarely reimbursed by statutory health insurance.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><h2>Table of Contents<\/h2><nav><ul><li class=\"\"><a href=\"#was-ist-kapselfibrose-kapselkontraktur\">What is capsular fibrosis (capsular contracture)?<\/a><\/li><li class=\"\"><a href=\"#symptome-der-kapselfibrose-diese-anzeichen-ernst-nehmen\">Symptoms of capsular fibrosis: Take these signs seriously<\/a><\/li><li class=\"\"><a href=\"#baker-klassifikation-die-vier-schweregrade-der-kapselfibrose\">Baker classification: The four degrees of severity of capsular fibrosis<\/a><\/li><li class=\"\"><a href=\"#behandlungsmethoden-bei-kapselfibrose-von-konservativ-bis-operativ\">Treatment methods for capsular fibrosis: from conservative to surgical<\/a><\/li><li class=\"\"><a href=\"#no-touch-methode-und-moderne-implantattechnologie-zur-pravention\">The \u2018no-touch\u2019 method and modern implant technology for prevention<\/a><\/li><li class=\"\"><a href=\"#kosten-der-kapselfibrose-korrektur-was-zahlt-wer\">Costs of capsular fibrosis correction: Who pays what?<\/a><\/li><li class=\"\"><a href=\"#heilungsverlauf-und-prognose-nach-der-kapselfibrose-korrektur\">Recovery and prognosis following capsular fibrosis correction<\/a><\/li><li class=\"\"><a href=\"#kapselfibrose-und-folgekostenversicherung-was-4beauty-im-schadensfall-abdeckt\">Capsular fibrosis and insurance covering consequential costs: What 4beauty covers in the event of a claim<\/a><\/li><li class=\"\"><a href=\"#haufige-fragen-zur-implantat-kapselfibrose-korrektur\">Frequently asked questions about implant capsular fibrosis correction<\/a><\/li><li class=\"\"><a href=\"#quellen\">Sources<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<div class=\"wp-block-group is-style-boxed has-white-warm-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Important note<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This article is for information purposes only and is not a substitute for a medical diagnosis or advice. If you are unsure, or if you require a personalised treatment plan, it is essential that you consult a qualified specialist.<\/p>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"was-ist-kapselfibrose-kapselkontraktur\">What is capsular fibrosis (capsular contracture)?<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Capsular fibrosis refers to the pathological hardening of the scar tissue surrounding a breast implant<\/li>\n\n\n\n<li>The body initially forms a normal connective tissue capsule \u2014 in 2 % \u2013 5 % of all female patients, this becomes pathological<\/li>\n\n\n\n<li>Synonyms: capsular contracture, implant encapsulation, capsular fibrosis of the breast<\/li>\n\n\n\n<li>Typical time frame for onset: 12\u201324 months after breast surgery; rarely earlier<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">After a breast implant has been inserted, the body automatically forms a thin capsule of connective tissue around the foreign body \u2014 this is a normal immune response. <strong>Capsular fibrosis<\/strong> (also known as capsular contracture) refers to the pathological progression of this reaction.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The tissue grows uncontrollably. It thickens and begins to shrink. The breast feels hard, changes shape and causes pain.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">According to the specialist literature (including guidelines from the German Society for Plastic, Reconstructive and Aesthetic Surgery, DGPR\u00c4C), 2 % \u2013 5 % of all female patients with silicone implants are affected. The risk is significantly higher in those with a genetic predisposition to scarring.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The diagnosis is made through a physical examination (palpation) and imaging techniques \u2014 ultrasound or MRI. The severity is classified according to the Baker classification, which distinguishes between four grades, ranging from normal to severe.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-schematische-darstellung-der-kapselfibrose-zeigt-den-untersc.png\" alt=\"A schematic diagram of capsular fibrosis illustrates the difference between a normal and a hardened connective tissue capsule surrounding a breast implant\" class=\"wp-image-515\" srcset=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-schematische-darstellung-der-kapselfibrose-zeigt-den-untersc.png 1536w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-schematische-darstellung-der-kapselfibrose-zeigt-den-untersc-900x600.png 900w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-schematische-darstellung-der-kapselfibrose-zeigt-den-untersc-300x200.png 300w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-schematische-darstellung-der-kapselfibrose-zeigt-den-untersc-768x512.png 768w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-schematische-darstellung-der-kapselfibrose-zeigt-den-untersc-1024x683.png 1024w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-schematische-darstellung-der-kapselfibrose-zeigt-den-untersc-18x12.png 18w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_02-schematische-darstellung-der-kapselfibrose-zeigt-den-untersc-40x27.png 40w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"wie-haufig-tritt-kapselfibrose-nach-brustimplantaten-auf\">How common is capsular fibrosis following breast implant surgery?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Capsular contracture occurs in 2 % \u2013 5 % of all patients with breast implants. The risk is higher with smooth-surfaced implants, with subglandular placement (in front of the muscle) and in patients prone to excessive scarring.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Symptoms occurring on both sides are an indication of a genetic predisposition. Experience shows that the first symptoms appear 12\u201324 months after the initial operation. Very late-onset cases \u2014 more than 5 years after the operation \u2014 do occur, but are rare.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"ab-wann-ist-kapselfibrose-behandlungsbedurftig\">At what point does capsular fibrosis require treatment?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Grade I and II Baker\u2019s lesions do not require immediate surgery. Conservative measures such as massage and ultrasound therapy can stabilise the condition. From <strong>Baker Grade III<\/strong> Where there is visible deformity, professional bodies recommend active correction. Grade IV Baker\u2019s disease with persistent pain is considered an urgent indication for surgery.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"symptome-der-kapselfibrose-diese-anzeichen-ernst-nehmen\">Symptoms of capsular fibrosis: Take these signs seriously<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A lump in one or both breasts \u2014 palpable or visible<\/li>\n\n\n\n<li>Deformation or displacement of the implant<\/li>\n\n\n\n<li>Asymmetry: one breast looks different from the other<\/li>\n\n\n\n<li>A feeling of pressure or pain, particularly when lying down<\/li>\n\n\n\n<li>Redness or warmth over the implant (in the event of inflammation)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Capsular fibrosis develops gradually. Many patients initially notice only a slight hardening, without any pain. This is Baker Grade II \u2014 visually unremarkable, but palpable and different from the healthy side.<\/p>\n\n\n\n<div class=\"wp-block-group is-layout-grid wp-container-core-group-is-layout-0ddedb66 wp-block-group-is-layout-grid\">\n<div class=\"wp-block-group is-style-boxed has-white-warm-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Early warning signs<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">A slight hardening that can be felt on palpation. No visible deformity, no pain. Corresponds to Baker Grade II.<\/p>\n<\/div>\n\n<div class=\"wp-block-group is-style-boxed has-white-warm-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Middle stage<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">Visible hardening, distortion of the breast contour, incipient asymmetry. A feeling of pressure when moving. Corresponds to Baker Grade III.<\/p>\n<\/div>\n\n<div class=\"wp-block-group is-style-boxed has-white-warm-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Advanced<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">Severe deformity, persistent pain, hard capsule clearly palpable. Significant impairment of quality of life. Corresponds to Baker Grade IV.<\/p>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Pain whilst sleeping on your stomach, during exercise or when under pressure is a reliable indication of Grade III or IV Baker\u2019s disease. If you experience these symptoms, you should consult a specialist in plastic surgery without delay.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-eine-person-tastet-ihre-brust-ab-um-verh-rtungen-als-m-glich.png\" alt=\"A person is feeling their breast to check for lumps, which may be a sign of capsular contracture following breast implant surgery\" class=\"wp-image-529\" srcset=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-eine-person-tastet-ihre-brust-ab-um-verh-rtungen-als-m-glich.png 1536w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-eine-person-tastet-ihre-brust-ab-um-verh-rtungen-als-m-glich-900x600.png 900w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-eine-person-tastet-ihre-brust-ab-um-verh-rtungen-als-m-glich-300x200.png 300w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-eine-person-tastet-ihre-brust-ab-um-verh-rtungen-als-m-glich-768x512.png 768w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-eine-person-tastet-ihre-brust-ab-um-verh-rtungen-als-m-glich-1024x683.png 1024w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-eine-person-tastet-ihre-brust-ab-um-verh-rtungen-als-m-glich-18x12.png 18w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_03-eine-person-tastet-ihre-brust-ab-um-verh-rtungen-als-m-glich-40x27.png 40w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"baker-klassifikation-die-vier-schweregrade-der-kapselfibrose\">Baker classification: The four degrees of severity of capsular fibrosis<\/h2>\n\n\n\n<div class=\"wp-block-group is-style-boxed has-apricot-light-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Key points at a glance<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>Baker Grade I: no abnormalities, no treatment required<\/li>\n\n\n\n<li>Baker Grade II: mild stiffness; conservative treatment is advisable<\/li>\n\n\n\n<li>Baker Grade III: visible deformity; surgical correction recommended<\/li>\n\n\n\n<li>Baker Grade IV: severe pain, urgent indication for surgery<\/li>\n\n\n\n<li>4beauty covers corrections for Baker Grade III<\/li>\n<\/ul>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">The Baker classification is the internationally recognised system for categorising capsular fibrosis according to severity. Plastic surgeons use this scale to make a diagnosis and decide on the appropriate treatment method.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Baker scale<\/th><th>Symptoms<\/th><th>Palpation findings<\/th><th>Need for action<\/th><\/tr><\/thead><tbody><tr><td>Grade I<\/td><td>None \u2014 the bust looks natural<\/td><td>Soft, normal consistency<\/td><td>No treatment, observation<\/td><\/tr><tr><td>Grade II<\/td><td>Visually unremarkable, with a slight hardening noticeable to the touch<\/td><td>Slightly hardened, palpable<\/td><td>Conservative treatment (massage, ultrasound)<\/td><\/tr><tr><td>Grade III<\/td><td>Visible hardening, deformation, asymmetry<\/td><td>Fixed, implant can be moved<\/td><td>Surgical correction recommended<\/td><\/tr><tr><td>Grade IV<\/td><td>Severe deformity, persistent pain<\/td><td>Hard, painful when pressed<\/td><td>Emergency surgery (capsulotomy)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"baker-grad-i-und-ii-beobachten-oder-handeln\">Baker Grades I and II: Monitor or treat?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Baker Grade I is considered a normal finding. The capsule is present but causes no symptoms and is not visible from the outside. No action is required.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Grade II Baker\u2019s disease is palpable but not visible. Conservative measures \u2014 regular massage, ultrasound treatments and vitamin E supplementation \u2014 can keep the condition stable at this stage in the long term. A follow-up medical check-up after 6 months is advisable.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"baker-grad-iii-und-iv-wann-ist-eine-operation-unumganglich\">Baker Grades III and IV: When is surgery unavoidable?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Baker Grade III means: The capsule is visibly deformed; the breast feels firm and looks unnatural. This is accompanied by pain on movement or when pressure is applied. In such cases, the DGPR\u00c4C guidelines recommend active correction.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Grade IV Baker is the most severe form of capsular contracture. The capsule is rock-hard. The breast is severely deformed and causes constant pain. Surgery is urgently required \u2014 any further delay will compromise the outcome of the operation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Important: From Baker Grade III onwards, 4beauty\u2019s follow-up costs insurance covers the replacement of implants, including the cost of the implants \u2014 up to \u20ac10,000.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"behandlungsmethoden-bei-kapselfibrose-von-konservativ-bis-operativ\">Treatment methods for capsular fibrosis: from conservative to surgical<\/h2>\n\n\n\n<div class=\"wp-block-group is-style-boxed has-apricot-light-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Key points at a glance<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>Conservative treatment: only recommended for grades I\u2013II (massage, ultrasound, vitamin E)<\/li>\n\n\n\n<li>Capsulotomy (fibrosis incision): gentle, but with an increased risk of recurrence<\/li>\n\n\n\n<li>Capsulotomy + implant replacement: the gold standard for Grade III and IV<\/li>\n\n\n\n<li>Explantation: the safest long-term solution in the event of recurrence or intolerance<\/li>\n\n\n\n<li>Cost: \u20ac1,500\u20138,000 depending on the method; statutory health insurance rarely covers the cost<\/li>\n<\/ul>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Treatment for implant capsular fibrosis is based on the Baker grade and the patient\u2019s individual anatomy. Not every method is suitable for every degree of severity.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"kapsulotomie-der-fibrosenschnitt-als-schonende-option\">Capsulotomy: Fibrosection as a minimally invasive option<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Capsulotomy (fibrosis incision) involves making an incision in the hardened capsule without removing it completely. The implant remains in place. The procedure takes less time than a capsulectomy and has a shorter recovery time.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Suitable for: Baker Grade III with moderate symptoms. The risk of recurrence is higher than with complete capsulotomy \u2014 the capsule may reform. For this reason, capsulotomy is now less frequently recommended as a stand-alone procedure.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"kapsulektomie-vollstandige-kapselentfernung\">Capsulectomy: Complete removal of the capsule<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Capsulectomy involves the removal of the capsular tissue either completely (total capsulectomy) or partially (subtotal capsulectomy). In cases of Baker grade IV or following a recurrence after capsulotomy, total capsulectomy is considered the gold standard.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The procedure is often carried out in conjunction with an implant replacement. Textured implants or those with improved biocompatibility have been shown to reduce the recurrence of capsular contracture.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"implantatwechsel-neues-implantat-besseres-ergebnis\">Implant replacement: a new implant, a better result<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Implant replacement is the most common treatment for Baker Grade III and IV. The old implant is removed, the capsular tissue is resected either completely or partially, and a new implant is inserted.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Textured implant surfaces and submuscular placement (under the pectoral muscle) reduce the risk of recurrent capsular contracture. Smooth implants remain an alternative for patients who cannot tolerate textured models.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Method<\/th><th>Indication (Baker grade)<\/th><th>Budget<\/th><th>Risk of recurrence<\/th><\/tr><\/thead><tbody><tr><td>Conservative treatment<\/td><td>Grade I, II<\/td><td>\u20ac200\u2013600<\/td><td>moderate<\/td><\/tr><tr><td>Capsulotomy (fibrosis incision)<\/td><td>Grade III<\/td><td>\u20ac1,500\u20133,500<\/td><td>increased<\/td><\/tr><tr><td>Capsulotomy + implant replacement<\/td><td>Grade III, IV<\/td><td>\u20ac3,000\u20138,000<\/td><td>minor (in the event of a change in technology)<\/td><\/tr><tr><td>Implant removal + autologous tissue reconstruction<\/td><td>Grade IV, recurrence<\/td><td>\u20ac5,000\u201312,000<\/td><td>very low<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-chirurgische-instrumente-im-operationssaal-zeigen-den-keller.png\" alt=\"Surgical instruments in the operating theatre include the Keller Funnel, used for the \u2018no-touch\u2019 technique to prevent capsular fibrosis in breast implants\" class=\"wp-image-544\" srcset=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-chirurgische-instrumente-im-operationssaal-zeigen-den-keller.png 1536w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-chirurgische-instrumente-im-operationssaal-zeigen-den-keller-900x600.png 900w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-chirurgische-instrumente-im-operationssaal-zeigen-den-keller-300x200.png 300w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-chirurgische-instrumente-im-operationssaal-zeigen-den-keller-768x512.png 768w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-chirurgische-instrumente-im-operationssaal-zeigen-den-keller-1024x683.png 1024w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-chirurgische-instrumente-im-operationssaal-zeigen-den-keller-18x12.png 18w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_04-chirurgische-instrumente-im-operationssaal-zeigen-den-keller-40x27.png 40w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"no-touch-methode-und-moderne-implantattechnologie-zur-pravention\">The \u2018no-touch\u2019 method and modern implant technology for prevention<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>No-touch method (Keller Funnel): The implant does not come into contact with any skin surfaces \u2014 minimised risk of contamination<\/li>\n\n\n\n<li>Submuscular placement: Placing the implant beneath the pectoral muscle reduces capsular contracture<\/li>\n\n\n\n<li>Antibiotic prophylaxis: reduces the risk of infection before and during surgery<\/li>\n\n\n\n<li>Textured implant surfaces: have been shown to carry a lower risk of capsular contracture than smooth surfaces<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The <strong>No-touch method<\/strong> The Keller Funnel is a modern surgical technique in which the silicone implant is inserted via a sterile funnel. This minimises contact between the skin and bacteria. It has been proven to reduce the risk of capsular contracture compared with the traditional method.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Experienced plastic surgeons combine this technique with submuscular implant placement and perioperative antibiotic prophylaxis. Patients who are candidates for revision surgery benefit particularly from this combined approach, as it significantly reduces the risk of recurrence.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Textured implant surfaces promote tissue ingrowth and stabilise the implant. Smooth implants with good biocompatibility remain an alternative in cases where textured models are not tolerated by the individual patient.<\/p>\n\n\n\n<div class=\"wp-block-group is-style-boxed has-anchor-light-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Note<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">According to the DGPR\u00c4C guidelines, capsulotomy with implant replacement is considered the gold standard for Baker grades III and IV. The \u2018no-touch\u2019 method is standard practice in modern revision surgery.<\/p>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"kosten-der-kapselfibrose-korrektur-was-zahlt-wer\">Costs of capsular fibrosis correction: Who pays what?<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Capsulotomy: approx. \u20ac1,500\u20133,500<\/li>\n\n\n\n<li>Capsulotomy + implant replacement: approx. \u20ac3,000\u20138,000<\/li>\n\n\n\n<li>Implant removal + autologous tissue reconstruction: approx. \u20ac5,000\u201312,000<\/li>\n\n\n\n<li>The statutory health insurance scheme will only cover costs in the event of a documented medical emergency<\/li>\n\n\n\n<li>Private follow-up costs insurance fully bridges this gap<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The cost of correcting implant capsular fibrosis depends on the method chosen, the clinic and the individual findings. Specific guide prices (as at July 2026):<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"was-ubernimmt-die-gesetzliche-krankenversicherung\">What does statutory health insurance cover?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Statutory health insurance (GKV) reimburses the costs of capsular fibrosis correction only in the event of a documented medical emergency. Health insurance funds refuse to cover elective revision surgery following cosmetic procedures.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This means that anyone who has paid for breast augmentation privately and subsequently develops capsular contracture will have to bear the full cost of the corrective surgery themselves \u2014 unless they have insurance cover. Even in cases of Baker Grade IV with severe pain, the statutory health insurance scheme is unlikely to cover the costs unless it is an acute medical emergency.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"welche-kosten-entstehen-ohne-absicherung\">What costs would you face without insurance cover?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Without insurance cover, the most common corrective procedure \u2014 capsulotomy plus implant replacement \u2014 costs between \u20ac3,000 and \u20ac8,000. On top of this come the costs of anaesthesia, hospital fees and the cost of the new implant itself.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Anyone who has not budgeted for this amount faces a considerable financial burden. A policy taken out before the first operation <a href=\"https:\/\/4beauty.de\/en\/after-care-insurance\/\">Consequential Costs Insurance<\/a> fills this gap.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_05-ein-sch-tzendes-symbol-steht-f-r-die-finanzielle-absicherung.png\" alt=\"A protective symbol represents the financial security provided by insurance covering follow-up costs in the event of capsular fibrosis following breast implant surgery\" class=\"wp-image-561\" srcset=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_05-ein-sch-tzendes-symbol-steht-f-r-die-finanzielle-absicherung.png 1536w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_05-ein-sch-tzendes-symbol-steht-f-r-die-finanzielle-absicherung-900x600.png 900w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_05-ein-sch-tzendes-symbol-steht-f-r-die-finanzielle-absicherung-300x200.png 300w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_05-ein-sch-tzendes-symbol-steht-f-r-die-finanzielle-absicherung-768x512.png 768w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_05-ein-sch-tzendes-symbol-steht-f-r-die-finanzielle-absicherung-1024x683.png 1024w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_05-ein-sch-tzendes-symbol-steht-f-r-die-finanzielle-absicherung-18x12.png 18w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_05-ein-sch-tzendes-symbol-steht-f-r-die-finanzielle-absicherung-40x27.png 40w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"heilungsverlauf-und-prognose-nach-der-kapselfibrose-korrektur\">Recovery and prognosis following capsular fibrosis correction<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Recovery time: typically 4\u20138 weeks until full fitness is regained<\/li>\n\n\n\n<li>Sport: can be resumed after 6\u20138 weeks at the earliest<\/li>\n\n\n\n<li>Final breast shape: takes 3\u20136 months to settle<\/li>\n\n\n\n<li>Risk of recurrence in cases of genetic predisposition: increased; recurrence on both sides is possible<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The healing process following capsular fibrosis correction takes place in several stages.<\/p>\n\n\n\n<ol class=\"wp-block-list is-style-step-list\">\n<li><strong>Weeks 1\u20132<\/strong> It is essential to take it easy physically. A support bra must be worn at all times. Swelling and a feeling of pressure are normal and will ease day by day.<\/li>\n\n\n\n<li><strong>Weeks 3\u20134<\/strong> Light everyday activities are possible again. You can cautiously resume driving and office work. Compression therapy and lymphatic drainage aid the healing process.<\/li>\n\n\n\n<li><strong>Weeks 5\u20138<\/strong> Increasing physical capacity. Exercise that puts strain on the chest muscles is still prohibited. Regular check-ups with the surgeon.<\/li>\n\n\n\n<li><strong>Months 3\u20136<\/strong> The final shape of the breast is taking shape. Scars are fading. Final check-up and discussion of long-term aftercare.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">The risk of recurrence \u2014 that is, the re-occurrence of capsular contracture \u2014 depends heavily on individual predisposition. In cases of a genetic predisposition to excessive scarring, capsular fibrosis occurs bilaterally and repeatedly. In such cases, explantation followed by autologous tissue reconstruction remains the only reliable long-term solution.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_06-eine-grafische-zeitachse-zeigt-den-typischen-heilungsverlauf.png\" alt=\"A graphical timeline shows the typical recovery process over eight weeks following surgery to correct capsular fibrosis, with weekly milestones\" class=\"wp-image-565\" srcset=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_06-eine-grafische-zeitachse-zeigt-den-typischen-heilungsverlauf.png 1536w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_06-eine-grafische-zeitachse-zeigt-den-typischen-heilungsverlauf-900x600.png 900w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_06-eine-grafische-zeitachse-zeigt-den-typischen-heilungsverlauf-300x200.png 300w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_06-eine-grafische-zeitachse-zeigt-den-typischen-heilungsverlauf-768x512.png 768w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_06-eine-grafische-zeitachse-zeigt-den-typischen-heilungsverlauf-1024x683.png 1024w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_06-eine-grafische-zeitachse-zeigt-den-typischen-heilungsverlauf-18x12.png 18w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2026-07_06-eine-grafische-zeitachse-zeigt-den-typischen-heilungsverlauf-40x27.png 40w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"kapselfibrose-und-folgekostenversicherung-was-4beauty-im-schadensfall-abdeckt\">Capsular fibrosis and insurance covering consequential costs: What 4beauty covers in the event of a claim<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Implant replacement for Baker Grade III and IV covered \u2014 including the cost of the implant<\/li>\n\n\n\n<li>Insurance cover of up to \u20ac10,000 for cosmetic clinics<\/li>\n\n\n\n<li>Freedom to choose a doctor in the event of complications<\/li>\n\n\n\n<li>Duration: 3 years recommended for breast implant surgery<\/li>\n\n\n\n<li>Booking: still possible up to 24 hours before the first operation<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">4beauty\u2019s follow-up costs insurance covers medically necessary corrective procedures following breast implant surgery \u2014 including implant replacement in cases of Baker Grade III and IV, as well as the cost of the new implant itself.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For breast implant surgery, experts recommend a contract term of 3 years. Experience shows that capsular fibrosis (capsular contracture) develops within this period. A one-year contract is not sufficient for breast implants \u2014 unlike for facelifts or liposuction procedures, where complications usually occur within the first year.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You can take out the insurance online up to 24 hours before your first operation. In the event of a claim, the process is handled digitally and without red tape. Further information on covered procedures can be found on the <a href=\"https:\/\/4beauty.de\/en\/after-care-insurance\/#behandlungen\">Overview page on treatments and procedures<\/a> as well as in the <a href=\"https:\/\/4beauty.de\/en\/after-care-insurance\/questions-and-answers\/\">Frequently Asked Questions<\/a>.<\/p>\n\n\n\n<div class=\"wp-block-group is-style-boxed is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Important<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">Insurance to cover follow-up costs must be taken out before the first operation. It is not possible to take out such cover retrospectively \u2014 after breast augmentation has already taken place.<\/p>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"haufige-fragen-zur-implantat-kapselfibrose-korrektur\">Frequently asked questions about implant capsular fibrosis correction<\/h2>\n\n\n\n<div data-wp-context=\"{ &quot;autoclose&quot;: false, &quot;accordionItems&quot;: [] }\" data-wp-interactive=\"core\/accordion\" role=\"group\" class=\"wp-block-accordion is-layout-flow wp-block-accordion-is-layout-flow\">\n<div data-wp-class--is-open=\"state.isOpen\" data-wp-context=\"{ &quot;id&quot;: &quot;accordion-item-1&quot;, &quot;openByDefault&quot;: false }\" data-wp-init=\"callbacks.initAccordionItems\" data-wp-on-window--hashchange=\"callbacks.hashChange\" class=\"wp-block-accordion-item is-layout-flow wp-block-accordion-item-is-layout-flow\">\n<h3 class=\"wp-block-accordion-heading\"><button aria-expanded=\"false\" aria-controls=\"accordion-item-1-panel\" data-wp-bind--aria-expanded=\"state.isOpen\" data-wp-on--click=\"actions.toggle\" id=\"accordion-item-1\" type=\"button\" class=\"wp-block-accordion-heading__toggle\"><span class=\"wp-block-accordion-heading__toggle-title\">What is the difference between capsulotomy and capsulotomy?<\/span><span class=\"wp-block-accordion-heading__toggle-icon\" aria-hidden=\"true\">+<\/span><\/button><\/h3>\n\n\n\n<div aria-labelledby=\"accordion-item-1\" data-wp-bind--hidden=\"state.isHidden\" data-wp-on--beforematch=\"actions.handleBeforeMatch\" id=\"accordion-item-1-panel\" role=\"region\" class=\"wp-block-accordion-panel is-layout-flow wp-block-accordion-panel-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Capsulotomy (fibrosis incision) involves making an incision in the hardened capsule without removing it completely. Capsulectomy involves the complete or partial removal of the capsular tissue. For Baker Grade III, capsulotomy is considered an option. For Grade IV or in cases of recurrence, capsulotomy is the recommended standard of care. The risk of recurrence is higher following capsulotomy than following complete capsulotomy with implant replacement.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div data-wp-class--is-open=\"state.isOpen\" data-wp-context=\"{ &quot;id&quot;: &quot;accordion-item-2&quot;, &quot;openByDefault&quot;: false }\" data-wp-init=\"callbacks.initAccordionItems\" data-wp-on-window--hashchange=\"callbacks.hashChange\" class=\"wp-block-accordion-item is-layout-flow wp-block-accordion-item-is-layout-flow\">\n<h3 class=\"wp-block-accordion-heading\"><button aria-expanded=\"false\" aria-controls=\"accordion-item-2-panel\" data-wp-bind--aria-expanded=\"state.isOpen\" data-wp-on--click=\"actions.toggle\" id=\"accordion-item-2\" type=\"button\" class=\"wp-block-accordion-heading__toggle\"><span class=\"wp-block-accordion-heading__toggle-title\">Can capsular fibrosis (capsular contracture) recur after correction?<\/span><span class=\"wp-block-accordion-heading__toggle-icon\" aria-hidden=\"true\">+<\/span><\/button><\/h3>\n\n\n\n<div aria-labelledby=\"accordion-item-2\" data-wp-bind--hidden=\"state.isHidden\" data-wp-on--beforematch=\"actions.handleBeforeMatch\" id=\"accordion-item-2-panel\" role=\"region\" class=\"wp-block-accordion-panel is-layout-flow wp-block-accordion-panel-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Yes, capsular fibrosis can recur \u2014 particularly in cases of a genetic predisposition to excessive scarring. The risk of recurrence can be reduced by using textured implants, submuscular placement and the \u2018no-touch\u2019 method (Keller Funnel). If the condition recurs despite corrective treatment, explantation followed by autologous tissue reconstruction remains the most reliable long-term solution.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div data-wp-class--is-open=\"state.isOpen\" data-wp-context=\"{ &quot;id&quot;: &quot;accordion-item-3&quot;, &quot;openByDefault&quot;: false }\" data-wp-init=\"callbacks.initAccordionItems\" data-wp-on-window--hashchange=\"callbacks.hashChange\" class=\"wp-block-accordion-item is-layout-flow wp-block-accordion-item-is-layout-flow\">\n<h3 class=\"wp-block-accordion-heading\"><button aria-expanded=\"false\" aria-controls=\"accordion-item-3-panel\" data-wp-bind--aria-expanded=\"state.isOpen\" data-wp-on--click=\"actions.toggle\" id=\"accordion-item-3\" type=\"button\" class=\"wp-block-accordion-heading__toggle\"><span class=\"wp-block-accordion-heading__toggle-title\">Does the health insurance fund cover the costs of capsular fibrosis correction?<\/span><span class=\"wp-block-accordion-heading__toggle-icon\" aria-hidden=\"true\">+<\/span><\/button><\/h3>\n\n\n\n<div aria-labelledby=\"accordion-item-3\" data-wp-bind--hidden=\"state.isHidden\" data-wp-on--beforematch=\"actions.handleBeforeMatch\" id=\"accordion-item-3-panel\" role=\"region\" class=\"wp-block-accordion-panel is-layout-flow wp-block-accordion-panel-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Statutory health insurance (GKV) only covers costs in the event of a documented medical emergency. Elective revision surgery following cosmetic procedures is not covered. The costs for capsulotomy and implant replacement range from \u20ac3,000 to \u20ac8,000 and must be paid privately unless the patient has follow-up costs insurance. The <a href=\"https:\/\/4beauty.de\/en\/after-care-insurance\/\">4beauty Insurance<\/a> Covers the cost of implant replacement for Baker Grade III and IV up to \u20ac10,000.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div data-wp-class--is-open=\"state.isOpen\" data-wp-context=\"{ &quot;id&quot;: &quot;accordion-item-4&quot;, &quot;openByDefault&quot;: false }\" data-wp-init=\"callbacks.initAccordionItems\" data-wp-on-window--hashchange=\"callbacks.hashChange\" class=\"wp-block-accordion-item is-layout-flow wp-block-accordion-item-is-layout-flow\">\n<h3 class=\"wp-block-accordion-heading\"><button aria-expanded=\"false\" aria-controls=\"accordion-item-4-panel\" data-wp-bind--aria-expanded=\"state.isOpen\" data-wp-on--click=\"actions.toggle\" id=\"accordion-item-4\" type=\"button\" class=\"wp-block-accordion-heading__toggle\"><span class=\"wp-block-accordion-heading__toggle-title\">How long does it take to recover from capsular fibrosis correction surgery?<\/span><span class=\"wp-block-accordion-heading__toggle-icon\" aria-hidden=\"true\">+<\/span><\/button><\/h3>\n\n\n\n<div aria-labelledby=\"accordion-item-4\" data-wp-bind--hidden=\"state.isHidden\" data-wp-on--beforematch=\"actions.handleBeforeMatch\" id=\"accordion-item-4-panel\" role=\"region\" class=\"wp-block-accordion-panel is-layout-flow wp-block-accordion-panel-is-layout-flow\">\n<p class=\"wp-block-paragraph\">The recovery period typically lasts 4\u20138 weeks until the patient is able to resume normal physical activity. During the first two weeks, you must take it easy and wear a support bra. Sport and physical activity should not be resumed until at least 6\u20138 weeks have passed. The final shape of the breasts will stabilise within 3\u20136 months.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div data-wp-class--is-open=\"state.isOpen\" data-wp-context=\"{ &quot;id&quot;: &quot;accordion-item-5&quot;, &quot;openByDefault&quot;: false }\" data-wp-init=\"callbacks.initAccordionItems\" data-wp-on-window--hashchange=\"callbacks.hashChange\" class=\"wp-block-accordion-item is-layout-flow wp-block-accordion-item-is-layout-flow\">\n<h3 class=\"wp-block-accordion-heading\"><button aria-expanded=\"false\" aria-controls=\"accordion-item-5-panel\" data-wp-bind--aria-expanded=\"state.isOpen\" data-wp-on--click=\"actions.toggle\" id=\"accordion-item-5\" type=\"button\" class=\"wp-block-accordion-heading__toggle\"><span class=\"wp-block-accordion-heading__toggle-title\">At what Baker grade does treatment for capsular fibrosis become necessary?<\/span><span class=\"wp-block-accordion-heading__toggle-icon\" aria-hidden=\"true\">+<\/span><\/button><\/h3>\n\n\n\n<div aria-labelledby=\"accordion-item-5\" data-wp-bind--hidden=\"state.isHidden\" data-wp-on--beforematch=\"actions.handleBeforeMatch\" id=\"accordion-item-5-panel\" role=\"region\" class=\"wp-block-accordion-panel is-layout-flow wp-block-accordion-panel-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Grade I and II Baker\u2019s lesions do not require mandatory surgical intervention \u2014 conservative treatment such as massage, ultrasound therapy and vitamin E can stabilise the condition. From <strong>Baker Grade III<\/strong> In cases where there is visible hardening and deformity, professional bodies recommend active correction. Grade IV Baker\u2019s disease, with severe pain and significant deformity, is considered an urgent indication for surgery.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:45px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"quellen\">Sources<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.dgpraec.de\" target=\"_blank\" rel=\"noreferrer noopener\">German Society for Plastic, Reconstructive and Aesthetic Surgery (DGPR\u00c4C): Guidelines on breast surgery and implant complications.<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.bfarm.de\" target=\"_blank\" rel=\"noreferrer noopener\">Federal Institute for Drugs and Medical Devices (BfArM): Information on breast implants and safety assessments.<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.kbv.de\" target=\"_blank\" rel=\"noreferrer noopener\">National Association of Statutory Health Insurance Physicians (KBV): Information on the statutory health insurance scheme\u2019s obligation to cover the costs of cosmetic procedures.<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Treatment for capsular fibrosis ranges, depending on the Baker grade, from conservative management through capsulotomy to implant replacement with capsular removal.<\/p>","protected":false},"template":"","class_list":["post-671","glossary","type-glossary","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/4beauty.de\/en\/wp-json\/wp\/v2\/glossary\/671","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/4beauty.de\/en\/wp-json\/wp\/v2\/glossary"}],"about":[{"href":"https:\/\/4beauty.de\/en\/wp-json\/wp\/v2\/types\/glossary"}],"wp:attachment":[{"href":"https:\/\/4beauty.de\/en\/wp-json\/wp\/v2\/media?parent=671"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}