Breast Surgeries to Correct Capsular Contracture?

asked 2 years ago by Viv Vanity in LA
Latest answer by Sutton Graham II, MD
Question viewed 1,732 times
Tags: breasts, droopy, sagging, capsular contracture

I had Breast augmentation done 8 years ago. I think I need capsulectomy, Breast lift and another breast augmentation done. Am I correct? How can I avoid another set of potential complications?

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11 answers to Breast Surgeries to Correct Capsular Contracture?

Ready for Revision and Breast Lift (Mastopexy)

Viv Vanity: If your breasts feel hard, then capsulectomy should improve this. To reduce recurrence your surgeon may consider (1) saline implants, (2) subpectoral placement, (3) new implants, even if those are fine. If your breasts have grown or you no longer wish to be that size, go without implants, and there won't be another contracture. (You would probably want a lift in that case.) To address the sagging appearance, I would recommend a breast lift (mastopexy). This could elevate your... more

Sutton Graham II, MD
Greenville Plastic Surgeon

You need both a capsule repair and a lift

From your photos, you are exactly correct in neding the capsules removed, new implants placed and a full lift for the best shape. There is n way to totally prevent the capsule issues again, but the lift should be relatively permanent if done well.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

I think you're ready to practice plastic surgery

Viv, You seem to already have good insight as to your condition and how to correct it. I agree wholeheartedly with your plan for a capsulectomy, lift and transfer of the implants to the submuscular plane. You could use the same implants if they are intact, but they have already lived over half of they're expected average lifespan. The present appearance of your breasts demonstrate the long term effect of heavy silicone gel implants placed in the subglandular position. Good luck!... more

Kenneth R. Francis, MD
Manhattan Plastic Surgeon

www.francisnyplasticsurgery.com

Many options for revision augmentation mammaplasty

Your photos reveal glandular ptosis, possible capsular contracture, and asymmetry with the right larger and lower. Depending on the in initial procedure and the type and location of the implants as well as your intial versus current breast size, several options are potentially open to you. However, it does appear that you will need a lift, possible right sided reduction, and possible capsulectomy with implant removal and replacement. A capsulectomy is not necessarily required and some... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

You have a condition that will require a lift and capsulectomy and augmentation mamoplasty.

While many say it is safer and it is to do a two staged procedure, I feel that in almost all cases it is a good approach to remove the implants with a capsulectomy,, perform a breast lift and place a new silicone textured implant under the breast tissue at the same time. Yes you could have to have a procedure to keep the implant from coming out, more often than not you can succeed with a single operation. I have found that putting the implant under the muscle doesn't give as good or as... more

Carl W. "Rick" Lentz III, MD
Daytona Beach Plastic Surgeon

Have the implants removed and have a short scar breast lift

Capsular contracture is one of the undesirable results of augmentation. Looking at you photos, I would advise removing the implants and doing a short scar breast lift. This involves more than just placing a lollipop scar on the breasts. I completely rearrange the breast tissue by creating three flaps and only skin is removed. Yes your breasts will be somewhat smaller, but you would have a better shape, softness to the breasts and smaller areolae. You will never have implant related... more

George Marosan, MD
Bellevue Plastic Surgeon

A revision breast augmentation and breast lift will give you a great result.

Hi! Here's what you need: 1) Since you have severe capsular contractures, you really cannot leave your implants alone. You need partial capsulectomies, and new implants. Just don't get bigger implants. 300 cc's to 350 cc's seems right. Big breast implants age terribly. 2) You need a good "lollipop scar" breast lift at the same time (around and under the nipples) . No scars under the breasts, because you don't need them, and also because they increase the risk of... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Breast implants and lift?

Yes, it looks like you will need a breast lift procedure. If you want to maintain the volume, you will need implants. Since these have been in for 8 years, I would suggest replacing them.

Steven Wallach, MD
Manhattan Plastic Surgeon

You answered your own question

Cosmetic breast surgery is an exercise in compromise and trade-offs. Implants gave you the size you like but also produces some of the undersirable effects you mentioned. Certainly a breast lift of sorts is the most reasonable first. What to do with the implants is an entirely different and more complex issue. Once you have an implant, you inherit all the side effects and complications until you remove them. What you suggest is certainly reasonable but potentially difficult to achieve. You... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Would benefit from breast lift, possible implant exchange

I can't tell if you need a capsulectomy. If your implants feel soft and don't cause discomfort you may not need to remove the implants. If they are firm and uncomfortable, you should have them replaced. If you want to improve the appearance of your breasts I would recommend a breast lift and liposuction to anterior axillary areas.

Jacqueline Anne Luong, MD
Minnesota Plastic Surgeon

Hard to tell correction of capsular contracture

Hello, Your pictures make me wonder what things looked like before your first operation. You look like a lift might have been helpful back then. I can't blame where you are now entirely upon contracture. That is... unless things looked much different a year after your first operation.