Surgery for Capsular Contracture

Christopher L. Hess, MD answers: Breast implant replacement or lift after capsular contracture?

I am a 39 years old with 300 cc saline textured breast implants over the muscle for 15 years. Almost a year ago, I noticed hardness and discomfort on my right implant and confirmed I have a grade 2 capsular contracture. I am undecided whether to replace implants with smooth saline ones or remove them altogether and get a breast lift.

I was a size A breast but have had 2 kids. I am a full B cup with implants. I wonder if having the additional scars from a breast lift with smaller breasts will be more difficult psychologically than just having them replaced? My objective is really to avoid having further breast surgeries!


Christopher L. Hess, MD
21 days ago
By Christopher L. Hess, MD - Fairfax Plastic Surgeon

There's good new here believe it or not.  Nowadays the risk of capsular contracture is very small with submuscular implants.  I thing the majority of the capsular contracture had to do with either the antibiotics placed into the pocket during augmentation or the bleed of silicone oil from the implants.  Either way none of that happens today.

So you do need a minor lift but this can be done via periareolar incisions, i.e. no vertical scars.  I would recommend removing the implants and capsule, placing the new implants under the muscle, doing he periareolar, small lift and enjoying the beautiful breasts you will have.  It doesn't matter if you get silicone or saline when the implants are placed under the muscle.

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