Scar tissue build up after implant removal - how can I create symmetry? (Photo)

At this time, I recommend a breast lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Any scar tissue or fluid collection found at the time of surgery will be removed as well.

Best Wishes,

Gary Horndeski, M.D.

Thank you for sharing your experience and concerns, it’s completely understandable that you’d want symmetry and clarity after a difficult and painful journey.

From what you’ve described, and based on the photo, it appears that you may have significant capsular contracture or retained scar tissue in the left breast, even after implant removal (explantation). Since the capsule was not removed during explant, this likely contributed to the residual fullness and higher position of the left breast. This retained capsule can sometimes behave similarly to an implant by maintaining a rigid, elevated shape, especially when contracture has occurred.

Additionally, your history of pectoral muscle injury and the development of a seroma prior to explantation may have contributed to abnormal scarring and changes in tissue dynamics. Scar tissue can sometimes harden (fibrosis) and distort the normal contour and feel of the breast.

Your right breast appears deflated and more consistent with typical post-explant contouring, while your left breast still looks elevated and full due to the described tissue changes.

I recommend obtaining a second opinion from a board-certified plastic surgeon who is experienced in explant and revision breast surgery, particularly with cases involving capsular contracture or muscle injury. Also some imaging such as breast ultrasound or MRI may help delineate the extent of scar tissue and confirm the absence of any retained implant material or fluid collection.

Based on only one post a photo and the significance of the asymmetry of your breast, I recommend only in person consultations plus an ultrasound of both breast to rule out possible aroma of the larger breast. Best of virtual consult with first for a full discussion. Surgery in stages is your only option available. Regards And please do a virtual consultation.