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I Am Becoming Very Concerned About Capsular Contracture. What Do You Think? (photo)

I am 46, 5'4", 118-123. Both 400cc-silicone gel-high profile-unders. Good size for me. From the get go I was high and tight as I had dense peck muscle tissue. I am now 10 months post op and my implants are still high and tight--especially the right. Am I developing capsular contracture? They have not and do not move about freely. I can barely squeeze them together and are hardish when laying on chest. Tips on softening them? Will strapping or laying on them help? Do you think I need surgery?

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18 Doctor Answers | Asked by EasternWA02 in Washington State

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This appears to be capsular contracture.

Comparing your 3-month post-op and your 10-month post-op photos shows progression of capsular contracture. This is particularly evident in the last view with hand pressure causing the severe and "sharp" edge visibility. Especially with below the muscle implants, your breasts should be much softer and gradual in appearance, more like your first 2 photos at 3 months. Are you sure your surgeon went below the muscle? Submammary implants are somewhat more likely to develop capsular... more

Capsular contracture vs tight implant pocket

You clearly have excess firmness of the capsule around the implant which could be related to: 1) True capsular contracture or 2) A fairly tight capsule from a small pocket formation at the time of surgery. Either way, in my opinion surgery is indicated. Either capsulectomy with new implants for capsular contracture or capsulotomy with rrelease of the capsule inferiorly and laterally and replacement of the same... more

Capsular Contracture

Unfortunately you have a capsular contracture which is significant scar around the breast implant. The only good option is to re-operate. If on top of the muscle i would place them underneath. Maybe consider a little smaller implants. Medication is a option but best for type 1 and 2 contractures. There are 50 to 60,000 new contractures each year. Common. good luck.

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Capsular contracture vs small pocket

You really need to see a board certified plastic surgeon who can examine you and can tell what is going on with your breasts. Pictures just don't tell the whole story. In my experience implants placed under the muscle tend to ride higher than ones on top of the muscle and high profile ones tend to have a sharpe, less gradual transition between the chest wall and the breast. This is more noticeable with larger implants. So I would be more inclined to think your problem is not a... more

Implant capsules

Based upon your photos, it looks like you have a capsular contracture that probably needs removal of the capsule and replacement of the implants.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Concerned about capsular contracture

It appears that from your progression photos that you are demonstrating some form of capsular tightening. It is possible that some of this was the initial procedure as you describe this, but you do show some degree of progressive tightening. Clearly there is limited movement of the implants as well. The treatment for either is the same with a release of the capsule to allow for the implant to sit more naturally on your chest. Some patients do show improvement... more

Misshapen breast after breast implant and capsular contracture

Your posted photos show implants that appear to be above the muscle (despite your describing them as unders), are centered above the nipples and have a sharply visible edge with flattening of the inner lower quadrant contour on the left. You stated this high tight appearance has been present since surgery rather than developing over time so it is more likely to be inappropriate implant/inadequate pocket than it is capsular contracture. The treatment is the same though: adjustment of the... more

I Am Becoming Very Concerned About Capsular Contracture. What Do You Think?

Thanks for the posted photos. You have a severe capsular fibrosis that needs attention via surgical release. I believe you are submuscular but very hard to tell. Follow up please

Breast implants are high and tight

If the implants have always been high and tight it is more likely that you have problems with the implant pocket and perhaps the implant selection. The HP implant is rounder like a grade I capsule, but your point of projection from the implant is above the nipple. If you like your result you do not need surgery. Best of luck, peterejohnsonmd.com

You have capsular contarcture based on th e3 months and 10 months follow up picture

You results are not acceptable and you will need revision . Your implants seem to be above the muscle and will need to change your pocket position to sub-muscular.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

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