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Posted underEn Bloc Capsulectomy q&a

Implant Removal - Does lowered crease get reinstated? (Photo)

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MeMeMeTimeJun 26, 2024
I had very constricted AA breasts. My creases were lowered 2.5" approximately to accomodate 425 cc silicone under the muscle. The tissue was scored around the entire breast. If I have a full capsulectomy, will the area that is currently "underboob" be sewn back to my chest wall? Or should it NOT be to give me better chances at at least having some normal "round" breasts?

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Dr. Gary M. Horndeski, MD
Board Certified Plastic Surgeon
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Answered on Jun 27, 2024
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Gary M. Horndeski, MD

Unfortunately, you have not provided any photographs or told us your bra size. However, if the capsule is removed then some volume is removed with it and it can also injury the nerve and blood supply to the breast. At this time, I recommend explantation and lift using The Bellesoma Method. ...

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Joshua T Halka, MD

En Bloc capsulectomy, meaning removing the capsule AND surrounding tissue is not indicated for capsular contracture or BII. If you are having symptoms due to your implants which are 18 years old, it is likely due to capsular contracture, unless you have signs of breast implant associated...

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Wayne I. Yamahata, MD

To better answer this question would require more information and an actual physical examination. Based on the limited information provided, my best guess is that you would lose two or more cup sizes from the procedure.

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