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1-yr Post Op Lift w/Implants. Poor Results. Revision but Scared of 2nd Capsular Contracture

I'm scheduled for a revision next month. My lift with silicone implants subglandual resulted with severe capsular contracture on left breast. Dr had done several manual release till breast got soft. Since right breast was always smaller, dr gave 350cc on right and 300 on left. Now, left breast is smaller, dented at vertical scar. Dr wants to remove implants, switch them to the other breast, and do another tuck at vertical scar. This time I am really scared of 2nd cap cont. Under muscle too $$

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capsular contracture 300-349cc 350-399cc silicone implant bad lift results revision scared subglandular

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7 Doctor Answers | Asked by HisForLife in Florida

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Capsular contracture risks

Once you have a capsular contracture once, you are at a greater risk of having another, so I understand your concern. It sounds like the capsular contracture has failed improvement with massage. In that case it does sound reasonable to proceed with removing part or all of the capsule, and changing the implants position to below the muscle. The risk of capsular contracture is less when placed below the muscle. Also, if part of the reason you dislike your results is due to an inadequate lift,... more

Breast implant revision

Without an exam or at least seeing photos it is difficult to say what you would need. A revision sound reasonable.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Revision augmentation mammaplasty

Implant removal and replacement surgical procedures generally have a higher rate of complications including capsular contractire when compared to primary augmentation. Having said that, it depends on the degree of the asymmetry and how much it truly bothers you and not the surgeon.

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Revision of breast lift with augmentation

Capsular contracture is a possible complication following insertion of breast implant, and since you have already had this occur you are at increased of subsequent recurrence. Although revisions of breast lifts and augmentation also incur risks, you may wish to undergo a procedure that would minimize your risk of developing capsular contracture - including placement of the implants in a submuscular location.

Revision of Cosmetic Breast Surgery

Interesting. Every surgeon has his/her way of dealing with the financial responsibilities of revision surgery. Concerning the capsular contracture i would remove the capsule, place the implants beneath the muscle and make any necessary adjustments to the skin/incisions. I believe in implant displacement exercises which help keep the pocket open and soft. Dr. ES

Scared of capsular contracture

Correction of capsular contracture is a difficult problem. Once you have developed a contracture, you are at an increased risk of developing a recurrence. Prevention of the contracture should be the primary focus of the revision. In order to decrease the risk, I would advise my patients of the following interventions: The first is a site change of the implants to a dual-plane. This means placing the implants partially under the muscle (the top 2/3). Submuscular placement does have a... more

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

Breast Revisionary Surgery

I would definitely recommend switch to a submuscular pocket to decrease risks for recurrent contracture. It is money well spent, to decrease your risks for recurrence. If you end up with a 3rd surgery, there will be more financial obligation in the long run. Save up and do the right procedure as recommended by your physician.

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