I had implants 2 years ago, capsular contraction and implant shift, what are my options?

Thanks for your inquiry and excellent pictures.  Sorry for your struggles. Creating a new pocket under the muscle is your best chance to avoid another encapsulation. Good Luck.

Going under the muscle (subpectoral) is certainly a good option.  It will create a fresh new pocket, and it is generally accepted that the risk of capsular contracture is lower under the muscle.  Some feel it is important to remove the lower part of the capsule that still will be in contact with the implant, and to use new implants, preferably smooth.  Recent evidence is showing that textured implants may actually increase the risk of capsular contracture, even though for a very long time we thought the opposite was true.  Hope this was helpful.

First of all, I agree with my colleagues and you need to go and visit with your plastic surgeon to discuss your options.  Only your plastic surgeon can determine for sure whether you have capsular contraction, or recurrent capsular contraction.  I can only speak from my experience in treating capsular contraction. I devote a large portion of my practice to revision breast augmentation, and I have treated recurrent capsular contraction many times successfully.  It appears from your photos, that there may be a slight malposition, but I cannot tell without examination if you actually have capsular contraction.  If you do have a capsular contraction what I have found to be the most effective treatment for recurrent capsular contraction is removal of the implants, with replacement of new silicone gel implants (maybe slightly smaller size), converting the implants to a true sub muscular pocket, performing a full capsulectomy, and the use of an ADM (acellular dermal matrix) such as Strattice to prevent recurrent capsular contracture.  I have treated many 2nd, 3rd time recurrent contractures and this surgical plan does work. Discuss your options with your plastic surgeon.  I hope this helps!