Toronto Plastic Surgeons

I Am Becoming Very Concerned About Capsular Contracture. What Do You Think? (photo)

I am 46, 5'4", 118-123. Both 400cc-silicone gel-high profile-unders. Good size for me. From the get go I was high and tight as I had dense peck muscle tissue. I am now 10 months post op and my implants are still high and tight--especially the right. Am I developing capsular contracture? They have not and do not move about freely. I can barely squeeze them together and are hardish when laying on chest. Tips on softening them? Will strapping or laying on them help? Do you think I need surgery?

Looking at your pictures it is very possible that you have capsular contracture.  It is also possible that your breast pockets have never been made large enough to accommodate your implants fully and remain tight (instead of becoming tight as in capsular contracture).  Best thing would be to see your plastic surgeon who has seen you previously and knows what was done during the surgery and what your recovery was like.

Sincerely,

Martin Jugenburg, MD

Martin Jugenburg, MD

Toronto Plastic Surgeon

Do I Really Need Mastopexy on Top of Different Size Implants For Asymmetry? (photo)

Hello, i have been to one surgeon who has suggested me to have a breast augmentation with mastopexy on my right breast, because of the position of my nipple, She says if i don't get it done, the assymetry will still be there with two different size implants, and it won't look nice and i won't like the result. i was against the mastopexy (which she plans to do around the aerola) because i am scared of having scars...she suggested 150-200cc but i think i am going for 200-300cc would it be too big?

To correct the asymmetry alone, you would need a breast implant on the left side.  On the right side you have existing volume that will develop droopiness and therefore a lift on that side may be beneficial.  If you add an implant on the right side, you will have quiet a size asymmetry that you are trying to correct.

It appears like your right nipple is lower than your right side.  for that reason you should get a periareolar lift if nothing late.

Martin Jugenburg, MD

Toronto Plastic Surgeon

What Is The Cause of Symmastia? What Can I Do Now? (photo)

I went to several ps in person that confirmed that I do have synmastia. Right now it is mild-moderate but can get worse if not fixed. I'm debating weather to just get them removed instead of going through what I hear is a semi difficult surgery especially if you can not find a surgeon that performs synmastia repairs. What is the cause of synmastia exactly?

Synmastia is also known as 'uniboob', when the skin between the implants gets lifted off the chest wall so that the cleavage and definition between your breasts is lost looking like have just one continuous mass on your chest rather than two.  In your picture it looks like you have two distinct breasts but very close together.  Your options are to either have the implants removed for a few months and start over, or to have the implants placed further apart and the breast pocket space closed off in the middle.  This option is a little more tricky and requires that you wear a special garment for 6 weeks after your surgery.  

Martin Jugenburg, MD

Toronto Plastic Surgeon