Michael Horn, MD

Hi Dagaz, A very important question, and a topic you should address sooner rather than later. Based off your description of symptoms, you may or may not have capsular contracture. Capsular Contracture is a tightening of the scar tissue (also called a capsule) that normally forms around the breast implant during the healing process after surgery. In some women, the scar tissue (capsule) squeezes the implant. When this occurs, it is called capsular contracture. This results in firmness or hardening of the breast and is a risk for implant rupture. Capsular contracture is classified by Baker Grades. Capsular Contracture Baker Grades III or IV are the most severe. Baker Grade III often results in the need for additional surgery (reoperation) because of pain and possibly abnormal appearance. Baker Grade IV usually results in the need for additional surgery (reoperation) because of pain and unacceptable appearance. The best way to determine if this is the case is to schedule a follow up visit with your original implanting physician. If said physician is unavailable, scheduling a new consultation with a reputable plastic surgeon is a good opinion. Capsular contracture can worsen over time, so it is best to determine if this is the case sooner rather than later. On a positive note, most implant companies have some sort of warranty on the implants, whether it is a free set of implants to replace the current ones, or potentially cost assistance to help pay for the correction surgery. I hope this feedback helps!

Hi DigitalG! I completely understand that it can be difficult when choosing the right set of implants to help you achieve your cosmetic goals! At our facility, we utilize a technology called Vectra 3D Imaging to simulate what the results will appear like post surgery. This, in combination with an implant fitting, can help patients feel more secure in their implant decision! I have attached a link below with more details, and recommend either visiting us, or a practice that offers this as an option!

Thank you for your question. Icing can be helpful to reduce swelling post surgery. I typically recommend icing about 20 minutes on 20 minutes off for a few days after. It is always best to follow the instructions of your surgeon.

Thank you for your question. I recommend scheduling a follow up appointment to meet with your surgeon. It is not common to experience pain 1 year post op.

Thank you for your question.  I recommend scheduling to see your pcp. I allow my patients to move forward with surgery as long as they have finished their round of antibiotics prior to their scheduled surgery date.

Thank you for your question. Each office will have their own policies. At our office we allow our patients to change their size at their pre-op but will not allow them to change after their sizing consent is signed. I recommend contacting your surgeons office to find out their policies. 

Thank you for your question.  I recommend following the post operative instructions from your surgeon. I typically advise my patients to wait at least 2-3 week after surgery to have sex. By that point the incisions should be completely closed. Listen to your body and give your best judgement. 

Thank you for you question. I do not see any reason why you will need to remove the extensions prior to surgery. I recommend discussing directly with your Board Certified Surgeon. Good luck with surgery!

Thank you for your question.I generally advise my patient to wait 6 months after breast feeding to move forward with breast augmentation surgery. It is important to discuss this with your Board Certified Surgeon. 

Thank you for your question. Removing your sports bra for short period of time is OK. I suggest that my patients wear a sports bra 24/7 (as much as possible) for 6 weeks. Removing to shower, massage, or short periods will not harm your recovery.