Breast Implant Revision: Q&A
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Was my Breast Revision To Correct CC and Bottoming Out Done Correctly? (photo)
Went to a revision specialist to correct the following: Capsular contraction - left breast. Bottoming out - right breast. Surgeon performed: Capsule removal on left breast. Permanent sutures to form new pocket on right breast. Implants were replaced. Went from 500/left 550/right to 600/left to 650/right. I am 7 weeks post-surgery. I am very upset. My breasts are totally uneven, even more so than before the surgery. Right breast is very firm and tight. What should I do? Please help!!
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9 Doctor Answers |
Asked by
Emily in SoFla
in Fort Lauderdale, FL
+2
Revision Breast Surgery
Thank you for your question. Unfortunately, it looks like you may need another revision. Is the right breast more firm? you may be developing capsular contracture on that side.
Revisionary surgery is tricky and there are always risks associated with any type of surgery. Make sure you see a board certified plastic surgeon who has experience with this type of surgery.
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Revision surgery is likely.
Unfortunately, you have had a poor result from revisional breast surgery. Looking at your preoperative photos, I do not appreciate any "bottoming out" of the right implant before surgery, although it does appear that you have an elevation and tightness consistent with capsular contracture on the left side. The implants you have are far too big for your breasts. Correcting positional deformities while increasing implant size will complicate any revision...
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You will need a revision breast augmentation in 3 or 4 months.
Hi.
1) I am afraid that you do not have an acceptable result, and you must be so upset. You should wait though, to make sure they don't change.
2) From your picture, I would recommend that the right breast mound be lowered to look more natural. I would also suggest going a little smaller.
see video
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Answer to RealSelf.com Breast asymmetry question
Emily-
There are many different issues that you are dealing with: capsular contracture, scarring, capsule reefing, larger implants, revisional surgery, and normal healing...just to name a few. Each of these variables increases the risks for asymmetry and many of them cannot be controlled by either you or your surgeon.
It appears from your photos that the diagnosis of capsular contracture on the left breast was correct, although I am not able to appreciate any significant...
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Your implants are too big for your breast tissue
This a very common problem with revision surgery. There were enough issues to correct and adding bigger implants makes the situation even more complicated. You need to get another revision and smaller implants.
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Revision of breast surgery
Not sure why you did anything to the Right breast. That looks pretty good to me. The left side looks like it just had a contracture so that it didn't drop. I can see why you are unhappy because of the asymmetry. You need to decide which breast you like better before you have further surgery. Each breast looks good, but different. Change only one. I bet you had some asymmetry issues before you had your first surgery. Those photos would be worth reviewing with your surgeon.
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Capsular contracture to breasts, breast revision surgery, bottoming out breast shape
I am sorry to hear that you are having problems following your revisional surgery. I don't want to comment specifically to your situation because I have not directly examined you and the advise should be offered only a fter a proper examination. In general, however,the idea of removing the existing capsular contractures from a breast that is tight and distorted in its shape is a good idea. Supporting the undersurface of a bottoming out breast shape with sutures or a...
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Was my Breast Revision To Correct CC and Bottoming Out Done Correctly? (photo)
Sorry but you need additional surgery. Please call my office in MIAMI to we can discuss your options in person. regards
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Bottoming out of breast implants
You have two problems going on. First of all, the right breast appears to be developing an early capsular contracture. Further, the left breast appears to still be bottomed out. They are both tough problems to repair. Fortunately the answer to repairing both my be either Alloderm or Strattice. They have both been shown to reduce recurrent capsular contracture in some patients. Further, both can be used to re-support an implant requires more support.
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