Areolas Are Caving Under After Removing Breast Implants, Is This Permanent?

I am 4 weeks post-explant after dealing with constant capsular contracture for 11 years. I am slowly healing but continue to deal with the areola pulling in and under where the incision was made (more significant on the left). Will this heal over time or is it a permanent situation?

Doctor Answers 7

Breast implant removal and deformity.

Thank you for the question in pictures.  

Unfortunately, it is too early to know if the contour depression that you are experiencing will be a long-term result  after your breast implant removal surgery. Sometimes it is amazing how the body will “fill in” defects with time and contraction of the skin envelope. I would suggest continued follow-up with your plastic surgeon (assuming he/she is a well experienced board-certified plastic surgeon).  In the event  that revision surgery is necessary  he/she will be most familiar with the situation and  therefore best equipped to help you.

Best wishes.

Explantation of breast implant

There is still some swelling according to the pictures. So it may improve some, but you will have still a major deformity.

You need to know if a total capsulectomy was done?

did they repair the breast tissue under the nipple areola?

You need to wait 6 months then explore your options with an experienced BOARD CERTIFIED PLASTIC SURGEON (AMERICAN BOARD OF PLASTIC SURGERY)

Samir Shureih, MD
Baltimore Plastic Surgeon
5.0 out of 5 stars 5 reviews

Wait 3-6 months-- then revision may be necessary.

It’s not unusual for patients to experience breast distortion following removal of breast implants when severe capsular contractures are present.Under these circumstances, patients are often emotionally devastated by breast distortion and associated loss of breast volume.

When this situation arises in the immediate postoperative period it can be difficult to know if this distortion is permanent.In some cases swelling resolves and tissue remodels over the course of three to six months with significant improvement in the aesthetic result.In other cases, the deformity may be permanent and secondary surgery may be indicated.This may include implant replacement, breast lift, and possibly grafting procedures.

If your’e concerned about the appearance of your breasts following implant removal, consultation with a board certified plastic surgeon is appropriate.This surgeon should be able to formulate an appropriate treatment plan.

Indentations after breast implant removal surgery

It is still early after your explantation surgery to determine the level of contour irregularity. It may take several months for the breast contours to improve. If there still is tethering or indentations after 6 months, revisional surgery can be done to release scar tissue or fill with own tissue. It may be useful to massage the area daily. Consult with your surgeon for advice on how to optimize the healing process and appearance of the breasts.

Marialyn Sardo, MD
La Jolla Plastic Surgeon
5.0 out of 5 stars 3 reviews

Post-explant deformities.

After an explantation, it may take several months for the breast contours to smooth out. If the indentations persist, a revision surgery may help by releasing scar, or the interposition of fat from a fat transfer may help. Give things a little more time (at least 3-6 months) and then reassess.

David Bogue, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 13 reviews

Caving nipples

From your photos this mat improve as time goes on.You may need a slight revision or perhaps soem of your own fat or other tissue may need to be added later to fill the depression but this should not be a problem.

Robert Brueck, MD
Fort Myers Plastic Surgeon
5.0 out of 5 stars 44 reviews

Breast caving in following implant removal

4 weeks is too soon to make any long term decisions but it does look like you may be left with a deformity of your breasts.  Give the scarring 6 months or so to settle and massage your breasts to help soften the scars.  I find that fat transfer is the best way to help with this problem, although you may need more than one session.  All the best.

Jonathan J. Staiano, FRCS (Plast)
Birmingham Plastic Surgeon
5.0 out of 5 stars 13 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.