Introduction
If your breast implants no longer look or feel the way they used to, if there’s tightness, distortion, or pain, you may be experiencing capsular contracture. While this condition can be frustrating, it doesn’t always require surgery to treat. At the Breast Implant Center of Hawaii in Honolulu, board-certified plastic surgeon Dr. Larry Schlesinger offers an innovative, non-surgical approach using PRP (Platelet-Rich Plasma) therapy to address early-stage contracture. This advanced technique utilizes your body’s natural healing power to reduce inflammation and restore breast softness, without the need for general anesthesia or extensive recovery.
Capsular contracture occurs when the scar tissue (or “capsule”) that naturally forms around a breast implant begins to harden, tighten, or distort the implant. In its early stages, this response is often driven by inflammation. It can be treated non-surgically through PRP-based capsular contracture therapy. This cutting-edge, minimally invasive technique involves injecting concentrated platelets derived from your own blood into the affected area. These platelets contain natural growth factors that help regulate inflammation, stimulate healing, and may soften or even reverse the capsule over time. For the right candidate, this treatment can offer noticeable improvement without the need for surgical intervention.
Non-surgical capsular contracture treatment can dramatically improve both comfort and aesthetics. One of the biggest advantages is that it addresses inflammation at its source, working to soften the scar tissue that’s causing tightness or distortion without the need for surgery. Patients often experience relief from discomfort, a more natural breast feel, and improved symmetry, all with little to no downtime. Because PRP is made from your own blood, the risk of allergic reaction or rejection is virtually nonexistent. For many women, this treatment also brings peace of mind, knowing they’ve found a safe, non-invasive way to support healing and avoid the trauma of another surgery.
The ideal candidates for PRP-based capsular contracture therapy in Honolulu are those with early-stage contracture, where the breast may feel slightly firm but still looks relatively natural. You might also notice subtle asymmetry or mild discomfort, but without severe pain or visible distortion. This approach is best suited for patients who wish to avoid surgery, preserve their current implants, or explore options after implant removal or revision. If you’re healthy, realistic about your outcomes, and interested in a low-risk, regenerative solution, Dr. Schlesinger will determine during your consultation whether PRP is the right step for you.
First Steps
The first step toward treating capsular contracture is scheduling a private consultation with Dr. Larry Schlesinger at the Breast Implant Center of Hawaii in Honolulu. This appointment is your opportunity to speak openly about your concerns—whether you’re experiencing physical discomfort, emotional frustration, or simply want to better understand your options. Dr. Schlesinger will begin by reviewing your medical and surgical history, carefully examining your implants, and assessing the severity of the contracture. Imaging or diagnostic tools may be used to obtain a clearer picture of what is happening internally.
If early signs of capsular contracture are present, he may recommend PRP therapy as a first-line, non-surgical solution. The process will be explained in full detail—from how your blood is processed to how and where the PRP is injected. You’ll also learn about your expected recovery timeline, how many sessions you may need, and what kind of improvements you can realistically expect.
Capsular contracture treatment in Honolulu is often performed by drawing blood, similar to a routine lab test, which is then spun in a specialized centrifuge to separate the platelet-rich plasma—your body’s natural healing concentrate. Once ready, Dr. Schlesinger injects the PRP into the targeted area around the implant using a fine needle. This process is precise, minimally invasive, and typically completed in under two hours from start to finish. Most patients describe the sensation as mild pressure or slight warmth. There’s no need for general anesthesia, no surgical incisions, and you’ll be able to return home the very same day, often resuming light activity almost immediately.
Each injection is administered with a very fine needle and should only take a few moments per site. Dr. Schlesinger will inject the filler, gently massage it around to disperse it and assess the results, adding more only if necessary. Once completed, you will be cleaned up and given an ice pack to reduce swelling and alleviate any discomfort. Apart from administering the treatment, we also offer at-home care instructions to help you maximize the results of your Facial Filler and extend its longevity.
Because PRP therapy is non-surgical, recovery is significantly easier than traditional capsular contracture surgery. Most patients experience only mild pain or tenderness at the injection sites, which typically resolves within a few days. You’ll be encouraged to avoid strenuous activity for a short period, but you can otherwise return to your routine with minimal disruption. While improvement can begin within a few weeks, results are usually seen over time as the PRP gradually reduces inflammation and encourages tissue remodeling. Dr. Schlesinger may recommend a series of treatments spaced a few weeks apart, depending on the severity of the contracture and your response to the initial treatment. Follow-up visits ensure your progress is on track and that you’re happy with how your body is responding.
What is the cost?
The cost of capsular contracture treatment in Honolulu varies depending on the number of sessions required and the complexity of your individual case. Since this is a non-surgical option, many patients find it to be a more cost-effective and lower-risk alternative to implant revision surgery. During your consultation, Dr. Schlesinger’s team will provide a clear breakdown of pricing tailored to your treatment plan. While some patients may need only one session, others benefit from multiple treatments to achieve full results.
With over three decades of experience and thousands of breast procedures performed, Dr. Larry Schlesinger is widely recognized as one of Hawaii’s top plastic surgeons. His recognition from the American Society for Aesthetic Plastic Surgery (ASAPS), the American Board of Plastic Surgery (ABPS), the American Society of Plastic Surgeons (ASPS), and the American College of Surgeons (FACS), as well as his expertise in complex revision cases like capsular contracture treatment makes him a trusted choice for patients from all over the islands—and beyond.
If you’re experiencing discomfort or dissatisfaction due to capsular contracture, you don’t have to live with it. Don’t wait—schedule your consultation today in Honolulu and take the first step toward feeling like yourself again.