Double Capsule/late Seroma 2.5 Years Post Op Breast Augmentation?

Hi doctors. I have somewhat of a rare complication. I had 354cc cohesive gel textured implants over the muscle 2.5 years ago. I had zero complications up until 4 weeks ago. I was admitted to the hosp and 120cc of fluid was aspirated. The fluid returned and now is rock hard. I'm scheduled or surgery in a week. Will I need extensive work? My ps is removing both textured implants and replacing with smooth. I also want a smaller 270cc implant. Would I need a lift? I'm 36 d now 5'6 148 lbs. thank you

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D cup fluid hardness 5 ft 4 in to 5 ft 7 in 3 years post-op 130-149 lbs

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4 Doctor Answers | Asked by Cooper77 in Toronto, ON

Doctor Answers (4)
Community Comments (1)

Double Capsule/late Seroma 2.5 Years Post Op Breast Augmentation?

Make sure that your plastic surgeon is performing a complete capsluectomy (removal of the scar tissue capsule) prior to replacing the implants, and it is also suggested that the capsule tissue be sent to pathology for examination. If your surgeon is not familiar with these recommendations, you should consider obtaining a second opinion. There is no way of knowing whether you may need a lift (or whether it is safe to perform this at the same procedure) without examining you. more

Seroma 2.5 Years Post Op

Seromas are known to occur years after textured implant placement It is believed that adhesion occurs to the surface and the shearing causes irritation to the tissues The correct treatment is to replace them with smooth implants There is controversy as to whether complete capsulectomy should be performed So check out the pros and cons with a few opinions

Seroma after textured breast implants

The texture on a highly cohesive anatomic breast implant is known to cause friction and seromas in active individuals. The solution is not complex and should be solved with a round smooth implant, and we would suggest a less cohesive implant as well to blend in with the natural breast. The lift? We don't know enough to make that call.

Lift after implant exchange

Hi. Without an exam it is difficult to predict whether or not you need a lift after going with a smaller implant.

Steven Wallach, MD

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Manhattan Plastic Surgeon

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Comments (1)

Cooper77 18 Jul 2012

Thank you for all your responses. My surgeon has decided not to do surgery right now, as she feels the tissue is too fragile. She wants to wait 2-3 months. Does this seem reasonable? I'm still having pain in my right breast and the fluid seems to have turned to scar tissue, which she feels massage will help. I'm very skeptical as most plastic surgeons I've witten to have stated surgery was performed. I'm just very confused. My surgeon says I'm still in an acute phase and surgery could cause more issues.

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