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Do I Have Capsular Contracture?

asked 10 months ago by Andie88
Latest answer by Fereydoon S. Mahjouri, MD
Question viewed 713 times
Tags: 2 years post-op, capsular contracture

I got saline implants November 2009. I weight lift, and probably did chest exercises sooner then I should have. I didn't really notice how one nipple sits way higher then another one until I saw a picture of it.

13 answers to Do I Have Capsular Contracture?

+1

Augmentation mammoplasty and capsular contracture

You definitely have assymetrical breasts . Most of human beings are not perfectly symmetrical before under going surgery. However, if you had symmetrical breasts before surgery, either one of your implants have moved/displaced because of returning too soon to your weight lifting or you have formed asymmetrical capsular contractures . A visit to your plastic surgeon will give you the answer & would suggest proper treatment.
Fereydoon S. Mahjouri, MD

Minneapolis Plastic Surgeon

www.mahjouricosmeticsurgery.com

+1

Capsular contacture means a firm stiff breast implant

One of the visible signs of capsular contracture is an implant which tends to round up and move higher in the breast, however for the presence of a contracture the breast must be very firm and stiff and can be at times uncomfortable to lay on. Your nipple position can have other causes if the implants are soft on both sides, and your before pictures may carry a clue. Best of luck, peterejohnsonmd
Peter E. Johnson, MD

Chicago Plastic Surgeon

www.peterejohnsonmd.com

+1

You do not have capsular contracture

The pictures show that your left implant is displaced. The reason is the detachment of the pectoralis muscle from the sternum.This causing the implant to bottom out and the nipple to shift . You will need revision of the pocket and reattaching of the pectoralis muscle.
Kamran Khoobehi, MD

New Orleans Plastic Surgeon
+1

Asymmetry after breast augmentation

From the pictures you posted it looks as though the implants are symmetrically placed on your chest but that you have asymmetric skin envelopes. It is the skin asymmetry that accounts for the nipple asymmetry. Reviewing rpe-op pictures should reveal this. Adjustment can be performed to normalize nipple areolar complex position, but this will require additional scars around each areola.
Daniel Greenwald, MD

Tampa Plastic Surgeon
+1

Capsular Contracture of Breast Implants

It looks like you may have some component of capsular contracture. However, without examining you in person, it is impossible to know for sure. A revision surgery would likely have a nice difference. Switching the implants to below the muscle (if they are currently above), removing any contracture tissue and a mini lift to improve areolar symmetry is what I would suggest. Good Luck.
David Shafer, MD

New York Plastic Surgeon
+1

Nipple asymmetry

Nipple asymmetry is quite common, but some are more severe than others.It would be nice to see pre-op pictures to make an assessment.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Capsular contracture can cause breast asymmetry

Based on the photos alone, it is difficult to say for sure if you have capsular contracture. You do have a noticeable asymmetry between your nipple position, however the actual implant location appears fairly symmetrical. I would imagine you had some asymmetry before surgery; this would be easy to identify by seeing your "before" photos. The breast(s) will feel quite hard if you have capsular contracture. Capsular contracture can be diagnosed by seeing a board certified plastic... more
William Bruno, MD

Beverly Hills Plastic Surgeon
+1

Breast asymetry

I am willing to bet that if you look at your preop pictures, you will see differences in your breasts. as i tell my patients, what you give me is what you get only bigger
Jonathan Saunders, MD

Newark Plastic Surgeon

www.drjonathansaunders.com

+1

Breast asymmetry can be corrected.

Hi. 1) Your right breast implant is higher than your left. This asymmetry of the implants may well be due to capsular contracture. It makes your right nipple look even lower. 2) Your right nipple was probably somewhat lower before you had any surgery (congenital). 3) This can be improved with a capsulectomy and a "crescent" breast lift above your right nipple. see video
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

Nipple assymetry usually pre-exists breast augmentation

Breast augmentation typically does not effect nipple position very much. Its possible that you've always had some nipple position assymetry, but never noticed this issue until you really started paying attention to your breasts after your augmentation. Capsular contracture can change nipple position when it is severe - but this might not be the issue your are dealing with. A physical exam would help to answer the question.
Scott Sattler, MD

Bellevue Plastic Surgeon
+1

Capsular contracture vs nipple asymmetry

It appears you have implants that are relatively symmetrically positioned on each side. There appears to be a fairly large discrepanncy between the nipples: was this always there? If the breast implants are hard and undomfortable, you may indeed have a capsular contracture, but this would not affect the differences in the positioning of the nipples. If the nipple differences bothered you, you could talk to your plastic surgeon during your follow-up appointment about... more
Brent Moelleken, MD

Beverly Hills Plastic Surgeon
+1

Capsular Contracture

Breast Capsules are graded 1-4 with a grade 2 representing a mild capsular contracture which can be felt but not seen. No one can tell if you have a grade 2 contracture without an exam. You slight nipple asymmetry should be fairly easy to correct if you find it bothersome.
John Whitt, MD

Louisville Plastic Surgeon
+1

Capsular contracture?

I can't tell from the photo as the 2 implants look about the same and the difference is primarily the nipples. Go back to your preop photos and you will probably see the nipple issue already there, just magnified now. Otherwise, if one feels harder than the other, you might have cc. An exam is best for this of course.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

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