Revision due to Grade 2 Capsular Contracture. Want to get a revision but not sure what type of implant to go with.

Dear Sassy,I would first question your diagnosis of Grade II capsular contracture.  A grade two contracture is one that, by definition, can only be felt, but is not visible.  It generally does NOT require any correction.  If your contractures truly require treatment there are several options.  The best of these options is probably capsulectomy (removal of the capsules), exchange of the implants with textured devices, submuscular placement if possible using a no touch, Keller funnel technique and placement of an acellular dermal matrix product.  This course of action would incur significant additional cost and risk.  There are less expensive and less risky options that should be discussed with your plastic surgeon.  Good luck!

It is certainly possible to #increase your implant size with a #revision. However, the #pocket will need adjustment and a lift may be necessary; to better #support the new implant. Additionally, a mesh for further support may be helpful depending on the #implant size and skin #elasticity.

With both implant types there are choices when it comes to size, shape, and profile. The criteria best to suit you will be discussed in full detail at your breast augmentation consultation. Any cosmetic #revision has risks of unhappy outcome or other complications. Also, the right implant for the revision is contingient on shape of body and your desired outcome.  Your procedure should always be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for another revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient #reviews. Gathering all of this information will help you make a well-informed decision.

Dear Sassy,   Front and side view pictures would have been very helpful. Without picture or physical exam it is difficult to give you appropriate recommendation.   If you have some motion of the implants - capsule contracture level 1 or 2, all you need is capsulotomy  (scar release). That will open up the pocket, soften it up and give a nice slope. You do not have to change the implants with this condition.   If your breasts are very firm with no motion of the implants - capsule contracture level 3 or 4, you have most likely "Biofilm" (bacteria embedded in the capsule and on the implants), which requires capsulectomy (excision of capsule ) and replacement of implants to avoid recurrence.     In my 29 years o practice, I have noticed that almost exclusively, 'Biofilm" involves only one side. I have never seen bilateral "Biofilm", which is good news for you , because you might need only capsulotomy.   If you do need to replace your implants, I would recommend saline implants, which, statistically have less capsule contracture associated with them. Another critical thing that I instruct my patients to do , in order to reduce capsule contracture,  is implants displacement massage.   Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking.                 Best of luck,                                       Dr Widder