2 years post-op revision, submuscular, what’s happened to my implants? (Photos)

It is difficult to determine with these photos alone and no physical exam. What is certain is that there is some pocket and fold malposition. I would recommend seeing a very experienced American Board of Plastic Surgery certified plastic surgeon with extensive revisionary breast experience for a physical exam and possible ultrasound. The solution for this would be to manage the internal pockets/capsule (possible remove the capsule if there is in fact capsular contracture), place new implants, support the implants with Galaflex and possibly perform a small lift. This is all very predicated on proper evaluation and expectation understanding of the goal.

Dear Beautiful876751,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hello,It can be difficult to determine the cause of breast asymmetry after breast augmentation surgery. The hallmark of a capsular contracture is firmness of the implant, which is often accompanied by change in implant shape and position.. If the left implant is more firm than the right, you likely have implant malposition secondary to a capsular contracture. If both implants remain soft, it may be implant malposition on the right with bottoming out. It’s important to determine the correct cause because the surgical approach to each would be different. Good luck.

You most likely have developed a capsular contracture, which has resulted in the displacement of the implant and subsequent asymmetry. This is especially true given they started out looking equal and then changed over time, which means the pockets themselves were likely nice and symmetric at the outset. I believe you would need an explantation with capsulectomy and creation of a new pocket to avoid recurrent issues. Hope this helps!

You appear to have a capsule on one side which is holding up your implant higher than it should sit. Perhaps go with the second surgeon. You could try oral Accolate and external ultrasound treatments to see if the capsule could be softened and let the implant settle.

Based on only two posted photos, it is difficult to tell exactly what’s going on except it appears you have capsule contracture plus different size implants or potentially a leak on the smaller side? Best to obtain an ultrasound of your breast to seek info if there’s a leak? Then do a virtual consult most likely you need a third surgery with revision removal of partial capsule or complete capsule possible changing the The capsule again of virtual consult with fees will range from $10,000-$20,000.