I had BA 2 years ago and see that one is perfect, while one is higher and harder than the other. My doc never told me or showed me how to massage, but after reading posts on here, i see that doctors recommend massaging. Will massaging my higher, harder implant, even two years later, help it to settle a bit more? Also where can i find more information on breast pockets, folds, and things that were never explained to me so that if i choose a revision, i am even better informed than the first time?
Will Massaging Implants Two Years Post-op Help to Lower the Higher, Harder One?
Doctor Answers (14)
A surgeon should check for capsular contracture.
This is more than likely capsular contracture which should be examined by your surgeon or a board certified plastic surgeon. Most likely it will be treated surgically.
Implant massage not helpful
Breast Symmetry Two Years after Breast Augmentation?
Thank you for the question.
Based on your description of “higher and harder”, it is very likely that you are experiencing breast implant encapsulation. It would behoove you to be seen by well experienced board-certified plastic surgeons in consultation for accurate diagnosis and treatment options.
Unfortunately, at this stage, it is unlikely that the use of massage and/or medication will be helpful. These maneuvers may be very helpful after revision surgery is carried out.
It will be up to you to do your due diligence in the process of selecting a plastic surgeon who has significant experience helping patients in your situation. I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons.
Then, I would suggest you visit a few surgeons whose practices concentrate on breast surgery. Ask to see lots of examples of their work and preferably speak/see patients who have had similar procedures done. You will find, while doing your due diligence, that there are many different “specialties” who will offer their services to you; again, I strongly recommend you concentrate on surgeons certified by the American Board of Plastic Surgery.
Once you have done your research, I'm sure you will be able to find a well experienced board-certified plastic surgeon who can demonstrate significant experience to you. At that point, you will feel comfortable proceeding with the revisionary surgery.
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I am sorry but you have capsular contracture. This is a condition that is not treatable by implant massage, taking asthma drugs or high doses of vitamin E, or using either external ultrasound or infra red devices. A surgical procedure will be necessary to remove the scar tissue around the implant. Total removal of the scar capsule and using a new implant will minimize, but not eliminate, the risk of a recurrent capsular contracture.
Although implant massage is recommended by many doctors, there is no evidence that it will either prevent or treat capsular contracture.
In general, minimizing the risk of capsular contracture is achieved by a three pronged system of choosing the appropriate sized implant for your anatomy, performing meticulous, non-traumatic electrocautery surgery, and implant delivery with a 'no touch' technique. Done well, there is no bruising, minimal discomfort, and a risk of capsular contracture that is one tenth the national average, about 1.5% to 2%.
Please visit a few well qualified and experienced surgeons who have an excellent reputation in revision breast surgery. These doctors will be certified by the ABPS, and are members of the ASAPS.
Best of luck.
Web reference: http://www.drminniti.com
It sounds like you have a capsule that formed around your implant and massaging would not help at this point. I would follow up with your PS.
Massage two years after augment?
If you have a capsular contracture which has already formed around the implant, massage will not be of any value at this time. I suggest that you return to your plastic surgeon for evaluation of the capsule and recommendations for options going forward. Best of luck! Dr. K
High, hard breast (one side only) 2 years post-op!
Massage is not recommended by every breast surgeon, and those of us who DO recommend it have their own timing, method, and reasoning as to how and why it should be done. I believe that "massage" is a misnomer, as I recommend implant movement exercises that are designed to keep the surgical pocket I create in the operating room open and slightly larger than the size of the chosen breast implants. That way, if the scar capsule that forms around ALL implants contracts, there is still "room" for the implant to move and not be constricted, high, tight, and hard (capsular contracture).
Of course, this requires careful surgery and precise hemostasis (control of bleeding points) at the initial surgery, since placing a tight surgical bra or Ace elastic bandage to minimize bruising and bleeding only inhibits implant movement and tends to enhance the possibility of a scar capsule the exact size (or tighter) than the implants, making firmness and potential capsular contracture more likely or worse, When it occurs on one side, it's usually due to bleeding or bacteria stimulating the development of a tighter, thicker scar capsule constricting your implant on that side.
The most common cause of capsular contracture (which is what it sounds as if you have on that "high hard" side) is bleeding, or biofilm formation from "normal" skin or breast intraductal bacteria on the surface of your implant. If your capsule were still evolving (scar immature) over the first 6 months or so, then implant movement exercises could be of some value, but two years post-op means the scar capsule is completely mature and unable to improve. Use of leukotriene inhibitors has been suggested by some to help diminish capsular contracture, and may help in about half of cases, but is much less likely to be of any value at this point.
"Massage" at this point is of little to no value.
My best recommendation is to return to your plastic surgeon, or other qualified, experienced, ABPS-certified plastic surgeons and ask lots of questions. Answers ARE available. Click on the link below for some details that may help your understanding! Best wishes!
Web reference: http://www.mpsmn.com/breast-procedures/breast-augmentation
Massage 2 years after augmentation
I doubt that much improvement will be obtained at this point. You most likely have a capsule that will need surgery. Donald R. Nunn MD Atlanta Plastic Surgeon.
Established implant capsular contracture and breast augmentation
Unfortunately a high, hard breast implant 2 years after surgery is a capsular contracture. This is a known complication and one that requires a reoperation in order to fix. When I address this problem I will usually remove the old implants, remove as much of the capsule and scar tissue around the implants, and the place new implants in a different plane. What this means is if your implants were in the prepectoral plane (above the muscle) I would move them to below the muscle. This surgery usually requires a few weeks of limited activity but most patients can return to work a few days after the procedure. Sometimes if a capsulare contracture is suspected early after surgery massage and medications may help but at two years surgery is the only option in order to see any significant change.
Capsular contractures need surgery not massage
You will need a revision to improve the result you have. If the implants started out the same and one hardened and moved up, you probably have CC. If they were always different from the start, maybe the pockets just weren't made equally. Either way, massage won't help now.
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