Southern California is well-known globally for the number of plastic surgeries performed here. The most popular procedure performed is breast augmentation. Breast augmentation can be performed using either saline or silicone implants. For some patients, over time the breast can begin to feel hard or take on a somewhat firm appearance. In some cases this can happen gradually over time, but in other cases this can happen relatively soon following surgery. Patients who have hardening of the breast should never consider this a normal part of breast augmentation. The procedure to correct this is commonly referred to as a capsulectomy. This stems from the fact that a capsule of scar tissue has formed around the implant in an excessive amount. All implants have a capsule of scar tissue; however, when it is excessive it can cause the implants to feel hard and look distorted. For some patients, this can be most noticeable following a rupture or deflation. For other patients their body may be forming excessive scar tissue for other reasons. Dr. Seify explains to patients who are concerned about the feel and look of their older implants that breast implant exchange is recommended to remove the capsule and allow a new capsule of to form around a new implant. Breast implant exchange is a common procedure in Dr. Seify’s practice and patients will most likely need a capsulectomy in conjunction with a breast implant change. Patients who are considering breast implant exchange or would like to have their breast implants checked for changes and concerns are encouraged to contact Dr. Seify’s office and schedule a consultation.