Breast Implant Revision: Q&A

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Uneven Following Capsulectomy on Right-implant Exchange on Both?

Following a complete capsulectomy (for cap con) on my right breast, it is softer and lower than my left. As the capsule forms, will that lift and define my rt breast a bit? I also switched from saline to silicone (with no lift) on both .They are both soft but the left is clearly more defined ,they look uneven and the right one hangs lower. My doctor said that as a normal capsule forms the rt will become more defined and they will look similiar. Has this been your experience? I am really worried.

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uneven capsulectomy saline to silicone

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7 Doctor Answers | Asked by beth5062 in nj

Doctor Answers (7)
Community Comments (1)

Capsulectomy and Inferior Migration

Capsular contracture frequently produces an artificial lift to the tissue. Thus, capsulectomy produces significant drop in the implant. The breast will have to heal for at least 6 months to determine if anything else is needed.

Breast appears soft after capsulectomy

It is normal for the breast to appear softer and looser after a capsulectomy. sometimes this tightens up a bit over time. It will take 3-6 months until you see your final results.

Dennis Dass, MD

11 reviews

Beverly Hills Plastic Surgeon

www.dassmd.com

Uneven?

Without photos, preferably from before and after the recent surgery, it is hard to answer your question. I can say that it is not surprising that these look different early after surgery if one side had a complete capsulectomy, the other not, and that these should change as a new capsule forms on the right side. Thanks for your question, best wishes.

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Uneven after unilateral capsulectomy for capsule contracture

You have some capsule on the left and, now, none on the right. You should wait a while and it may become more symmetrical. Don't do anything for six to nine months. Talmage Raine MD FACS drraine.com

Talmage J. Raine, MD

5 reviews

Chicago Plastic Surgeon

Asymmetry following implant exchange and unilateral capsulectomy

It is hard to give you a definitive answer without an examination and before and after photographs. If you had a long standing capsular contracture on the right side and this caused some distortion of your breast tissue and only an implant exchange was done on the left side then one would expect some asymmetry. It is possible that this will improve over time. Follow your plastic surgeon's advice and give it time to heal. If you continue to have a degree of... more

Uneven Following Capsulectomy on Right-implant Exchange on Both?

This is a very good question. There is no answer, only time will tell. This is the main reason that I think it is important to do a capsulectomy on both breasts so that there is the best chance of getting them as even as can be obtained intra-op, and they can heal together simultaneously. Of course there are never any guarantee's, no matter what you do, as one can encapsulate, just as yours did. I would advise you to trust your doctor, and wait 6 months to see how the... more

Capsule removal and final result

I can not really comment specifically without an exam or photos.. It is difficult to say what the breast will look like in a few months. Best to follow with your doctor.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

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Comments (1)

beth5062
6 months ago

thank you-I appreciate all the advice-I attached a picture to a similiar question that I asked

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Breast Implant Revision: Q&A