20 Year Old Saline Implants, Capsular Contracture in One Breast. Will It Be Straight Forward to Removed Them Both? (photo)

Thank you for the question and pictures.  Given your history of very little change in body type over the years, it is likely that your breasts will “bounce back” relatively nicely after removal of breast implants. Of course, the breasts will be quite small;  hopefully you will be okay with the aesthetic outcome of this procedure.  You may find the attached link helpful to you;  patients who have undergone this procedure discuss their experience.

The procedure of breast implant removal itself should be quite straightforward and associated with minimal discomfort afterwards. Given that you have thickened capsule tissue, I would recommend that you have this tissue carefully removed at the time of breast implant removal also. Otherwise, this thickened tissue will remain in place, creating a firmer feel of the breast and potentially causing confusion when mammography is done.

 Select your plastic surgeon carefully.  Best wishes.

Removing your old implants along with the surrounding scar tissue capsules should be a fairly straightforward proposal.  Some capsules are easier to remove than others.  If your implants were not placed under the chest muscle originally then I might suggest putting them under the muscle when you have them replaced to minimize the risk of future capsular contractures.

With saline implants it is seldom difficult to remove the implants and capsules if needed. When capsule tissue is left behind it usually resorbs, provided it is not too thick. Both sides seem to have capsular contracture as I view the photos. 

Best wishes