Breast Implants: Q&A

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Capsular Contracture Surgery Gone Wrong? (photo)

I was a 32A 10 years ago and had saline implants under the muscle done. I expected to be a B+ C-, I was a D. about 5 years later I developed the capsular contracture. My surgeon is no longer performing surgeries. So, new doc did surgery Dec 21, 2012. The "new" implant is huge, heavy and painful. She told me today that she put the new implant in a new "pocket" and cut below my natural fold (there was nothing wrong with my first fold, why?. Doc said it is fine. There is something wrong! What do ido

7 Doctor Answers | Asked by notahappycamper in Here is a picture from last summer.
+2

Two weeks after surgery is too early to become alarmed about volume asymmetry after breast augmentation.

The photo demonstrates the right breast appearing somewhat larger than the left. This could easily be explained by postoperative swelling. Be patient.
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Capsular Contracture Surgery Gone Wrong?

Over the internet very hard to respond to these concerns. Best advise is to seek second opinions in person.
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Surgery gone wrong?

Your right breast is certainly larger than your left. This could be due to early swelling, a larger implant than the original, or post operative fluid collection (seroma). At this point I would simply let your surgeon know your concerns and follow instructions. If the asymmetry continues past 6 months than your surgeon may need to revise, usually done without additional surgeon charges.

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+2

Breast asymmetry

The right breast does look larger. At this point it is a wait and see issue. Things have to heal and after 3-4 months you can have a revision.
+2

Implants are Too Big

Obviously, there is a good deal of miscommunication occurring. You should clearly state your desires and listen to see if the doc's plan meets your goals. Currently, you should allow this to settle over the next several months. Your implants can be downsided and a lift performed if you decide you want to undergo another surgery. Dr. ES
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Right Breast Larger than Left

Your right breast is much larger than your left. Was it larger before surgery? Did the breast become larger a couple of days after surgery? I would be concerned about some type of fluid collection (hematoma or seroma), if the size changed in the postoperative period. If none of these things are true, was a much larger implant placed on the right side?
+1

Concerns after Breast Revisionary Surgery?

I'm sorry to hear about the concerns you have after revisionary breast surgery. At this point, given that you are only about a month out of surgery, it will be in your best interests to continue to exercise patience and to continue to follow-up with your plastic surgeon. Unfortunately, only time will tell whether the breast symmetry will improve and whether you will be pleased with the breast size/shape/symmetry. Best wishes.
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Comments (3)

Thank you very much Dr. Wallach for your opinion and advise. I am unable to post another picture with this story, but I did upload a picture from last summer as my profile picture. It was the best one I could find.
Thank you Dr. Stevenson for your response! It is greatly appreciated! I realize the lack of communication between Doctor and patient, and I truly wish there was something I could do on my part to resolve such a important aspect as a whole to assist in my recovery. I am hoping for better communication at my next scheduled appointment in one months time. For now, I am concerned about the infection and increase in pain!! The drainage tube was removed 6 days after surgery and it is completely healed, but the incision is not. Hoping to get squeezed in maybe tomorrow with my GP as he was also on holidays like my Surgeon. Thank you again Dr. Stevenson!
THANK YOU Dr. Hughes for answering my question!!! I send you the biggest warmest hug for just listening to me! Now this "not a happy camper" (my profile name) is a wee bit happier for just being acknowledged! I'm not sure about the fluid retention? I honesty feel that is not a problem now??? Although, .... the Doctor specified "do not remove the drainage tube until output measures less then 25ml in 24 hours", this is on the "Doctors orders form" for home care, the visiting nurse. When the Doctor removed my drainage tube on December 27, 2012 6 days after surgery, my output was still fluctuating from 36 - 38 ml in 24 hrs. Needless to say my breast swelled up quiet a bit! I can still feel the entire breast "heat up" at times?" And no, lol, its not just "the" breast having a hot flash! Regarding your question about the breast being larger before surgery.... Yes, my breast was larger, BUT, not large like this. No one could really see the difference or that there was any issue with the breast. I still wore my bikini top this past summer. I was much more concerned about the hardness and discomfort and pain I was experiencing with my breast. If I showed you where it was hard, then yes you may have seen it, but most people still said they didn't see any real differance. I now regret not keeping photos I had taken just prior to surgery. "Anyone who is reading this, please take a photo before your surgery for your own reference". I know that the Doctor took several photos in the operating room prior to surgery. I was afraid that one of my sons may find them, so I deleted them from my camera. My husband, the visiting nurse and two girlfriends agree, the right breast is larger then the left breast. I completely understand that when the capsular contratcture was removed that I would have a kind of empty cavity and it would sit differently, but no there is something wrong. In regards to your question about the new size of implant, I am wondering if the saline implant was measured for its total amount of cc (cubic centimetres) when it was removed? I'm not sure if this is a step that is routinely performed durning surgery or not??.....just to make certain that the "new" implant has exactly the same amount of cc.? Especially if the original surgery was preformed from a different Doctor. I would like to give an example of what it kinda feels like under the breast... its like having a really large, "thick" underwire bra wire and its attached to my ribs, and with every movement that I make it is there. I once cracked my ribs, (tripped over my dog) and although that was on my left back ribs, the symptoms kinda feel the same. The breast is no longer sitting in the breast cavity, and I am exaggerating this scenario to help you understand what it feels like to me now, now it feels like it is sitting on my torso and attached to my ribs. I just want to say, the left breast is also sitting my my ribs and that is fine, it is still in the natural cavity of my breast area where this is not within the natural cavity of the breast. I hope that makes sense. I still don't understand why the incision was not made under my breast and why it was made so much farther down my body? As for the infected, open spot of the incision site. I have been instructed to continue dressing it with a topical antiseptic. Which I have been doing myself since December 29th. For someone who's cuts heal pretty fast, this is taking way to long! I was assured that the dissolving inside stitches are fine and are not the reason for the open part of the incision. Again, thank you Dr. Hughes for responding to my concerns. Wishing you and everyone a day filled with happiness! :0)

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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