Breast Augmentation: Q&A

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Skin Adherence After Breast Augmentation

I had a capsular contracture and deep tissue adherence near my chest wall after my first breast augmentation, six years ago. I removed the implant. Now its been 15 days of my new surgery with new implants under the muscle but I still feel some lumps right on my chest wall, and when I look up I can feel the skin contracting in my right breast, right where the adherence was! I don't know what to do. Can this be corrected cirurgically without having the implants taking out? Thank you so much.

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skin contracture

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9 Doctor Answers | Asked by Cris27 in Sao Paulo

Doctor Answers (9)
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Skin Adherence after Breast Augmentation

Hopefully it will smooth out and soften with time. It not, you may need another surgery to excise the scar tissue and adhesions.

Capsular Contracture

I am sorry to hear about your capsular contracture. It is one of the most difficult and challenging breast problems to treat. It appears that you may have some remaining scar tissue. I would not consider any surgical revision for 6 months. This may soften up with time and deep tissue massage. Close followup with your board certified plastic surgeon is necessary to monitor your progress and make recommendations. Paul.... more

Many changes occur following capsular contracture surgery.

Changes in the contour of the breast, swelling, and shape of the breast are common after surgery. In particular, surgeries performed to correct capsular contracture often lead to areas of firmness or dimpling if the contraction was severe. Over time, the majority of these areas will soften and improve. This can take 6 to 12 months however. At 15 days, you are in the very early stages of healing. I recommend giving yourself the adequate time to heal before contemplating any surgical... more

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

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Adherent Skin adherence following breast implant augmentation

There are a variety of options but one of the more popular techniques involves the use of a group of products termed acellular dermal matrix. Other options such as flaps may be considered but may require substantially more surgery. Recently the use of fat injections has been utilized to camouflage implant ripples and may be another option.

Breast augmentation

At 15 days, its to early to do any type of revision and you probably want to give this several months. You do need to talk to your surgeon and express your concerns. You could be feeling some of the left over capsule and that should soften up with time and massage.

Post surgical changes after breast capsulectomy

Sometimes when a capsulectomy is performed not all of the capsule can be removed because of a thin overlying skin coverage This could potentially jeopardize viability of the skin or even cause a button-holing of the skin. This may be what you are feeling?

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Implants and capsular contracture.

It is a bit too early to have a definitive answer to your question, however, it is possible that you are developing a recurrent capsular contracture. I would recommend that you discuss your feelings with your surgeon and get his opinion on what is happening. It may be simply a matter of letting the breasts heal, which can take six weeks to three months. If you are having a recurrence of the capsular contracture you may want to discuss the use of an acellular dermal matrix, such as... more

Breast implants under the muscle feels different

The change of placing the implants under the muscle can take some time to get used to. It is very early, so give it all some time for your body to get used to this.

Breast augmentation

Is there anyway that photos can be sent? It's too early to tell. It may be that you need extra tissue in that area. The lumps that you are mentioning may be due to scarring. Fat grafting may be one approach. Good luck!

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