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What Can I Do After Three Surgeries Have Failed?

asked 1 year ago by Reny702 in Las Vegas
Latest answer by Isolde Hertess, MD
Question viewed 536 times
Tags: capsular contracture, options, scared, uneven

My 1st surgery was March 2009 (over tm) 1 week later 1 breast was so Inlarged surgery was done with a new implant he could clean up and remove blood clots. Then in December 2009 I had been noticing the same breast was hurting I waited until April 2010 to see him which I was told the breast had capsulated and he wants to put them under the muscle which he did. Now the same breast again has not formed to size it's lop sided. What should I do the fear to have surgery for the 4th time is scarey.

14 answers to What Can I Do After Three Surgeries Have Failed?

+1

3 surgeries

It sounds like you had a collection of bllod in the breast in March and then had encapsulation that required you to have another operation. The implants are now placed under muscle. So your breasts have had a significant amount of trauma with all the surgery and they ned time to rest now. Perhaps you should consider not having any further surgery for a while. With regards to the asymmetry, I say to my patients that breasts are sisters not twins. Its normal for one to... more
Isolde Hertess, MD

Gold Coast Plastic Surgeon
+1

You may want to seek a second opinion

Even in the best of hands with the best breast surgeons, patients develop complications. It would probably ease your mind, if you saw another reputable physician to get a second opinion. Always choose a board certified plastic surgeon, and ask other physicians such as your gynecologist, or friends of yours who have had cosmetic breast surgery ,if they would give you a recommendation.
Joseph M. Perlman, MD

Houston Plastic Surgeon
+1

Recurrent capsular contracture: consider Strattice

With a recurrent capsular contracture you have limited options. One is to remove the implant and the capsule, allow everything to heal for a few months and start over; the other is capsulectomy, implant replacement, and A Strattice graft. This is very effective at preventing another recurrence.
Richard Baxter, MD

Seattle Plastic Surgeon
+1

Breast implant capsular contracture

Problems with breast implants like hardening can occur but in my practice fortunately, it has become much less. Once you have a problem though, it may not go away. It is difficult to judge what I would recommend from your photos and what you write except to not have surgery again until at least one year from last one. Watch my videos.
Edward J. Domanskis, MD

Orange County Plastic Surgeon
+1

More breast surgery

I would advise you to leave it alone.  It's never, ever perfect.  Get fitted for a nice bra and enjoy your nice, full chest. 
Lisa L. Sowder, MD

Seattle Plastic Surgeon
+1

Risk versus return in breast surgery

At this point, you've already had two complications with implant surgery - Hematoma followed by capsular contracture. You have asymmetry, but not striking. Further surgery is less predictable and the risk of further complications may outweigh any minor improvement in symmetry. If it does not bother you significantly, I recommend leaving things as they are.
David Bogue, MD

Boca Raton Plastic Surgeon

www.drbogue.com

+1

Repeat breast surgery

It sounds as though you have had a rough time.i believe the ensuing hematoma probably contribute to the capsule.Putting the implant under the muscle,vigorous massage and perhaps a textured implant may provide for a softer more natural implant.
Robert Brueck, MD

Fort Myers Plastic Surgeon
+1

Fourth Breast Surgery

I do not see any indication for surgical revision in the pictures.  Breasts look fine, and symmetric.  If you want them tighter and lifted, consider circumvertical mastopexy.
Steve Laverson, MD

San Diego Plastic Surgeon
+1

Breast asymmetry

Your presurgical photos need reassessment. The photos show reasonable symmetry, you may have some extra breast tissue with mild sagging on left side which can get exaggerated when the implant is under the muscle. But atleast it is in safe place. In my view leave it alone.
Sanjay Parashar, MD

Dubai Plastic Surgeon
+1

Multiple loser to capsular contracture

At this point, it would be reasonable to leave them alone or consider having them taken out as you seem to be someone in whom implants don't mix well.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

www.randcosmeticsurgery.com

+1

Re-Recurrent Severe Scarring Around Breast Implants

Regarding: "What Can I Do After Three Surgeries Have Failed? My 1st surgery was March 2009 (over tm) 1 week later 1 breast was so Inlarged surgery was done with a new implant he could clean up and remove blood clots. Then in December 2009 I had been noticing the same breast was hurting I waited until April 2010 to see him which I was told the breast had capsulated and he wants to put them under the muscle which he did. Now the same breast again has not formed to size it's lop... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Do you have capsular contracture

Without examination it is hard to to give recommendation especially after complications and multiple surgeries. The other issue is the asymmetry of your breast before the original surgery. I would suggest either leave them as is if you do not have contracture. The other option is fat grafting for symmetry.
Kamran Khoobehi, MD

New Orleans Plastic Surgeon
+1

Breast revisions

You obivously had a hematoma the first time, then a capsule and now?  some asymmetry?  They look reasonably close in the photos.  You  may want to keep them the way they are or have more sugery it is your choice.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Asymmetry after breast surgery

It sounds as though you had a hematoma in one breast after your surgery and then after that was treated you developed a capsular contracture which can happen as a result of a hematoma. Your third surgery included a site change to below the muscle which often times can help with capsular contractures by creating a newer pocket for the implant. By the photos you have included you do have some asymmetry but it is common to have asymmetry prior to surgery, expecially in a woman whose breasts... more
Michael C. Edwards, MD

Las Vegas Plastic Surgeon

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