Possible Breast Revision? 6 Months Post Op. (photo)

Help! I'm 23years old, I had my BA done at Bumrungrad hospital in August 2012. I'm 6 mth post op and 3 mths ago my R breast started changing. When trying to massage it feels like a hard ball inside and aches quite often. I think I might have Capsular contracture. Someone please give me some insight on there views. Thank you, Renee xx

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8 Doctor Answers | Asked by reneeoh1989 in Melbourne, Australia

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Possible Breast Revision? 6 Months Post Op.

Always best o follow up with your operative surgeon. Yes you have the beginning of a capsular fibrosis. Seek in person aide.

Breast Implant Encapsulation after Breast Augmentation?

I'm sorry to hear about the problem you have experienced after breast augmentation surgery. Your history, description of physical findings, and picture are consistent with breast implant encapsulation. Of course, your plastic surgeon will be your best resource when it comes to making this diagnosis clinically. Based on your description, it is likely that surgical intervention will be necessary; this procedure will likely involve removal of scar tissue and reaugmentation... more

Capsular Contracture Treatment

If the breast appears higher or retracted and the breast is firm, then capsular contracture is the likely diagnosis. Most likely, you will need surgery to remove the capsule and replace the implants. Capsular contracture is usually progressive and does not get better but worse with time. Find the plastic surgeon with ELITE credentials who performs hundreds of breast augmentations each year. Kenneth Hughes, MD Los Angeles, CA

A capsular contracture sometimes can be fixed without surgery.

Although frowned upon, closed capsulotomy is a method to soften the breasts suffering from capsular contracture. It is brief and performed in the office. Although the recurrence rate is high after closed capsulotomy some patients avoid the operating room.

Capsular contracture

I tsounds like from your description and your photo that you have a capsular contacture on the one side. You will need to have the capsule removed and a new implant placed.

Steven Wallach, MD

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Manhattan Plastic Surgeon

Breast revision

Hello. From your picture and description of your right breast it does seem like you are developing capsular contracture. I would talk to your surgeon about a revision as soon as possible. At six months it is safe to go ahead with the revision now if possible. Jaime Perez, MD Breast Augmentation Specialist Plastic Surgery Center of Tampa

Post-breast augmentation firmness

Hello 'reneeoh1989', thanks for your question. Although 6 months is still fairly early postop, your description and photo are consistent with Baker grade 4 capsular contracture, in which you have firmness, distortion, and pain around your implant. There are many theories of why this occurs, including a subacute infection of the surrounding breast capsule, leading to a thick biofilm. I am not sure what type of implant you have, but another possibility is if you have a small... more

Possible Breast Revision?

From your description and photo, this does appear to be a capsular contracture. Continue massage, and arrange to be seen by your surgeon, who may well suggest some of the non-surgical remedies before recommending a revision operation. These include Vitamin E, ibuprofen, Singulair. If these fail, then surgery becomes a consideration. Thank you for your question and for the posted photo. Best wishes.