Breast Implants: Q&A
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Could Capsular Contracture Create Lateral Displacement of Breast Implants?
I had a breast augmentation procedure 3 years ago and developed a few months later capsular contracture - (Grade 3 in the Baker Grading System). Could this contracture explain the wide gap between my 2 breasts and now protruding breast-bone? Would there be non invasive therapies (eg: Aspen Rehab ultrasounds, massages) that would resolve this contracture / lateral displacement issues ? or would surgery be the only solution left to me ? My implants are cohesive gel implants and placed above the muscle. Thanks
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8 Doctor Answers |
Asked by
7585anon
in New York
+2
Cause for a wide cleavage
The wide distance between your implants can be caused by capsular contracture, however your photos do not show a vsable contracture suggesting that you have grade one or two capsules. You have a prominent sternum and slightly sloping rib cage so there is a natural tendency for your implantss to fall to the outside whn you lay down. This can be improved with revisional surgery to open the medial (inside wall) of your pocket and suture closed the lateral (outside wall) of your capsule.
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Capsular contracture can distort the breast
Your question raises several issues. First of all, capsular contractures can distort your breasts and pull them laterally. However, if you had a wide gap between your breasts before surgery, this gap will persist after surgery. There is so little subcutaneous fat over the breastbone that attempts to narrow the gap too much will leave the edge of any implant, including silicone, very visible through the skin.
Do you have bilateral contractures, and who told you they were Grade 3? I do...
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Capsular contracture
A capsular contracture can cause displacement of your breast implants laterally but so can your anatomy.
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Could Capsular Contracture Create Lateral Displacement of Breast Implants?
Capsular contracture may cause lateral displacement of the breasts and increased visibility of the subcutaneous structures.
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A world "apart"
Capsular contracture can cause displacement of implants. The wide distance between one's breast can be enhanced by contracture but in my experience the wide gap is present before surgery. I look at the nipple position and if it is wide this usually means that the breast naturally sit widely apart on the chest. Some women have chest deformities from birth that will not allow the breast and/or implants sit closer together on the chest.
In your case, there are no non surgical corrections. ...
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Capsular contracture can be treated
You have wide space due to the capsular contracture. You will capsulectomy and implant exchange. This will not help the wide gap. The options are limited and going bigger implant is one option that I would not recommend. The option is to redo your implants and use fat grafting to fill the gap. For the fat grafting you need to find a plastic surgeon that has experience with the fat grafting.
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Lateral displacement of breast implants can be corrected.
Hi.
1) Capsular contracture is probably not the cause of the large distance between your breast implants, but cannot be sure from the one picture.
2) Whether or not the contracture caused the lateral displacement, I am afraid the only way to improve things is with a revision breast augmentation.
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Capsular Contracture and lateral displacement of breast implants
A Baker 3 Contracture could easily cause lateral implant displacement as could the assymetric shape of your ribcage. A trial of singular or acculate may be helpful along with exercises to stretch the capsule medially.
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