Thank you for submitting your question. It appears that you have capsular contractures and your implants and capsule should be removed and replaced in a new plane (preferably submuscular). I would recommend a breast lift to improve the aesthetic result. Textured implants has a desecrated risk of recurrent contracture and would be a good option. When your ready, make an appointment with a Board Certified Plastic surgeon. Best Wishes.
Thank you for your question and photos.
You will need to have your implants exchanged and placed under the muscle to minimize a repeat CC. I do not recommend larger implants. Remember, implants are heavy and become more unstable the larger they become regardless of where they are placed. You may need a lift, but you can minimize your chances of a lift if your surgeon can deflate the implants (if saline) a few weeks before your planned implant exchange. Deflating them prior to your revision and wearing a tight sports bra can help the skin contract a bit. I hope this helps.
Best wishes and kind regards,
You have very thin breast tissue and you have already suffered capsular contracture. For these reasons I would recommend a subpectoral position. Since your areola have widened and are ptotic, I would also recommend a lift for the best result.
Thank you for your question and photos. You appear to have significant capsular contracture on both sides, as well as stretched, thin skin. If you were in my office, I would recommend the following:
1. Removal of both implants and capsulectomies (removal of scar tissue around the implants)
2. Placement of new implant (saline or silicone, your choice, also size of your choice) UNDER the muscle (lower risk of recurrent contracture)
3. Breast lift--you're going to have more loose skin than you think when those implants are removed.
4. Placement of Surgimend (acellular dermal matrix) to help reduce the risk of recurrent capsular contracture.
I've included a link to a page with a lot of my before/after photos related to breast implant revision surgery. I think you might find it helpful.
Hello and thank you for your question. You should go to a board certified plastic surgeon with expertise in aesthetic breast surgery. Your situation is more complex than most people are willing to admit. You will need a capsulectomy, new implants, and they should be placed under the muscle --> you have already had a capsular contracture and you should do everything you can to minimize it from happening again by going at least partially under the muscle. You will most likely need a lift because when your capsule is removed, this hard scar holding your breast tight will leave you with really loose skin, especially when you go under the muscle. An implant cannot give you a therapeutic lift, even when you go bigger. Do the right thing and go to someone who will not cut corners because you need to get this done right.
You have a difficult problem and I am afraid you are at risk for another capsular contracture if you have the new implants placed above the muscle. Your new implants need to be below the fascia or the muscle and adding a lift adds another layer of complexity. It is best that you get advice only after a full consultation, good luck!
You would really benefit from an in person consultation with an experienced board certified plastic surgeon. You have many options and choices to consider. Much of it depends on what size and look you will be happy with. Its great that you are doing your research ahead of time, but I really think you need to discuss the pro's and con's of each option with a surgeon. Good luck.
It would be difficult in my opinion, to do a capsulectomy and move the implants to the sub muscular position and then do a lift at the same time. The blood supply would be an issue. From the photos, it would appear the lift is necessary. If you're going to change position of the implant and leave it in the subcutaneous pocket after the capsulectomy, then I would recommend a highly textured silicone gel implant like an Allergan Natrell.Ask your chosen plastic surgeon for their advice and the reasons behind the choices. Good luck.
In your presented case ONLY in person evaluation would allow that determination to be made.....................
I would definitely consider a "site change" to the subpectoral plane to decrease the chance of another capsular contracture. The question of doing a lift or not would depend on the size and style of implant you choose. I would likely recommend a textured implant as well.
Best of luck