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How to Fix the Dent on Breast Implants

asked 1 year ago by Vannessa in California
Latest answer by Amy T. Bandy, DO
Question viewed 2,695 times
Tags: dents

I write this on behalf of my friend. She had breast augmentation 3 weeks ago with the incision in the armpits. Four days ago, she started to notice a 'dent' on her right breast (see the picture). Her surgeon said she got capsular contracture grade 1 and told her to massage her breasts to smooth out the dent. Then yesterday she found out her left breasts start to appear a 'dent'. Is it true that massaging can smooth out the dent like in the picture or she does need a revision? Her implants are smooth ones, and if the surgeon replaces the implants with textured implants in the same pockets, will she still get the same capsular contracture? And how much does the correction cost with another surgeon in California?

13 answers to How to Fix the Dent on Breast Implants

Breast "Dent" After Breast Augmentation through the Arm Pits

Regarding: "How to Fix the Dent on Breast Implants I write this on behalf of my friend. She had breast augmentation 3 weeks ago with the incision in the armpits. Four days ago, she started to notice a 'dent' on her right breast (see the picture). Her surgeon said she got capsular contracture grade 1 and told her to massage her breasts to smooth out the dent. Then yesterday she found out her left breasts start to appear a 'dent'. Is it true that massaging... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

No capsular contracture exists at 3 weeks

I would beg to differ with the opinion that what you are seeing is a capsular contracture of any grade at only 3 weeks. This implies that what you are seeing is somehow your body's fault making abnormal scar tissue. If you will notice, the same flattening is present on the lower outer opposite side which speaks against cc as an issue. Either your friend is wearing inappropriate garments and not following doctor's instructions as to care or the pockets aren't... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

How to Fix the Dent on Breast Implants

The photo does not indicate capsular contracture. Her implant pockets were not created symmetrically. However, she is still very early in recovery, and this can change. I would recommend that she wear a breast strap, and elastic strap that fits tightly over the upper part of her breasts. This will help to strech out the pocket as the capsule is developing. This may help alleviate the need for revision surgery. She should wait at least 3 months before being... more

Amy T. Bandy, DO
Newport Beach Plastic Surgeon

Your friend need revision

The reason for the folds is due to the mismatch between the implants diameter and the pocket diameter. You can tell from the picture that the medial pocket was dissected too much and the lateral pocket was not. The surgeon tried to give your friend as much as cleavage as possible and over dissected the middle pocket. There is no indication for the capsular contracture. For the revision, you will need iframammary incision and I would wait at least 3 months before revision. more

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

This may settle with time slightly particularly if she could massage the breast downwards into this area

Thank you very much for including the picture of your friend, it does look as if she has a visible dent in the lower part of her breast and this is due to muscle tethering in this region holding the implant upwards. This may settle with time slightly particularly if she could massage the breast downwards into this area but if it does not settle by 3 months I would advice her to seek a further consultation with her surgeon to discuss the options which may include lowering the breast... more

Adrian Richards, MD
London Plastic Surgeon

Post-op Irregularities After Breast Augmentation?

All breast augmentation procedures take time to "settle" and allow the muscle and skin to stretch to accommodate the implant. This results in forces on the implant that cause them to look odd through the initial healing period. Time often settles this to produce a even and smooth result. However, this is not capsular contracture at 3-4 weeks after the surgery as it takes 6 weeks just to get the collagen/scar tissue to the area. In this photo, it appears... more

Vincent P. Marin, MD
San Diego Plastic Surgeon

Too early to judge, but pocket may be insufficient

Dear Lady, 3 weeks after a breast enlargement is definitely too early to judge the appearance of the breast. One thing is sure : it is NOT a capsular contracture, because too early. Possibly the implant is sitting a little too high, which is a common problem with a breast enlargement via the armpit. Massaging the breast most likely won't correct the problem. I would advise to wait 2-3 months to allow the implants to settle. If the appearance then is still... more

Alexis Verpaele, MD
Belgium Plastic Surgeon

Irregularities after breast augmentation

It appears in the picture that the muscles are contracting which can create the appearance of a dent. Generally this is not something that has to be treated unless it progress and becomes more painful.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Capsular contracture at 3 weeks is highly unlikely

It is highly unlikely that your friend is experiencing a capsular contracture this early in her post operative period. Her photos show no evidence of a resolving hematoma which is the most common cause of an early capsule. What seems to be the case is that the pockets were not adequately created in an infero-lateral direction which is the case on both sides. That is what is causing the apparent dent and unnatural appearance. There is no advantage to switching to textured implants since... more

William F. DeLuca Jr, MD
Albany Plastic Surgeon

www.delucaplasticsurgery.com

Dent after breast augmentation

It is too early int he post-op course. Give it some time to settle down and allow the swelling to subside. It is too early in the "game" to start thinking revision.

Steven Wallach, MD
Manhattan Plastic Surgeon

"Dent" after breast implants

3 weeks is very early after surgery, and things will definitely change over the coming few months. Those flattened areas may settle out just fine. If they don't, it looks like a revision surgery would be needed to expand the pocket a bit.

Carmen Kavali, MD
Atlanta Plastic Surgeon

Breast implant dents

Vannessa, I don't believe your friend has capsular contracture. It is too early after the surgery. Most likely what is going on is that the swelling is coming down and you're seeing the results of the surgery. It will take about 3 months to see the final results and in the mean time the breasts will undergo changes. Replacing implants for textured ones is of no benefit since her implants are under the muscle and in that position texturing has not been... more

Martin Jugenburg, MD
Toronto Plastic Surgeon

www.torontosurgery.ca

Three Weeks is Too Early To Think About Revision

If a patient is only three weeks after their breast augmentation, they still have alot of changes going on and alot of healing to do. In general, it takes three months for everything to soften, round out, and settle into position. It would also be very difficult to diagnose capsular contracture at this early stage. Some women are still tight and strange appearing at three weeks if the tissues are taking time to stretch out. This can be normal. I would just keep... more