Breast Implant Removal: Q&A

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Nipple Caved in After Explant. Due to Capsule Removal?

I had my textured anatomical silicone implants (230cc, over the muscle) removed 5 months ago. I'd had the implants 11 years, over the muscle, and am now 30 years old. My surgeon removed 90% of the capsule even though it was thin, now half my nipple & areola is caved in on the right side, and appears to get pulled in when I tense my pecs. Could this be because she removed the capsule?

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8 Doctor Answers | Asked by Melbs in Melbourne, 07

Doctor Answers (8)
Community Comments (2)

Breast Implant Removal Results?

Thank you for the question and picture. Unfortunately, what you are experiencing can occur after breast implant removal. This concavity/inversion can occur with or without capsulectomy having been performed. I woild suggest massage of the area. This may improve with time. This wishes.

Removal of breast implants and other procedures

It's most likely the cause, but it's hard to give you an exact answer without seeing you. You'll probably need new implants and/or a lift to correct the problem.

Nipple retraction from scar tissue - just your healing

You have scar tissue between the nipple and the pectoralis muscle. This can sometimes be improved by massage or a scar revision. Nothing your doctor did wrong though, just how your body healed.

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Nipple Retraction

Most likely this is from internal scar formation as well as deflation of the tissues after implant removal. There may be a "tether" of scar from the nipple to the muscle. As others have suggested fat grafting may improve this. It is possible to get similar issues with less capsule removal but probably not as likely. Continue to follow closely with your surgeon during the healing as the scar tissue continues to relax, and don't forget to get a mammogram before... more

Nipple retraction may occur following implant removal: treatment options

Nipple retraction is not uncommon in the post-operative period due to scar tethering of the nipple ducts. Gently massage and stretching of the nipples will help. Occasionally a device called the Nipplette is useful for this purpose as well. It should generally resolve by 6-9 months. IF if persists beyond this, release of the ducts may be required

Nipple and skin retraction

The nipple and skin retraction could be from removal of the capsule or could jsut be from scar tissue developing between the tissues that have sealed up. Sometimes this can be corrected with fat grafts or even alloderm.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Nipple Retraction

Since the nipples retract with your muscle movement it means that scar tissue is pulling the nipple when the muscle twitches. I find that leaving more capsule in place couild circumvent that from happening. The nexte step may be a fat injection to gill in the area. Very new (experimental?) but many be the answer.

Nipple Retraction after Breast Implant and scar capsule removal

Regarding: "Nipple Caved in After Explant. Due to Capsule Removal? I had my textured anatomical silicone implants (230cc, over the muscle) removed 5 months ago. I'd had the implants 11 years, over the muscle, and am now 30 years old. My surgeon removed 90% of the capsule even though it was thin, now half my nipple & areola is caved in on the right side, and appears to get pulled in when I tense my pecs. Could this be because she removed the capsule?" Your... more

Peter A. Aldea, MD

35 reviews

Memphis Plastic Surgeon

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Comments (2)

Melbs
1 month ago

Hi Lisa Marie. After 3 years it is now much better, in fact nobody would notice it except me. Suction devices did nothing, but I tried a series if ultrasound treatments & massage, and had 150cc of fat injected into each breast about a year ago, which also helped.

LisaMarie2
1 month ago

Just give it a little time sweetie. MANY people's concaved nipples recover with time. I'm 5 months post explant & mine are beginning to recover. :o) You can also have a small correction surgery & potentiall a little fat tranfer to the area. And a device called a Nipplette ?? - is something I'm going to look into. Oh I just noticed this is an old post! How did they go??

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Breast Implant Removal: Q&A