Breast shape uneven after explant - how can I rectify it? (photo)

Question

I'm 39 and had my 9 yr old implants removed on the 9th May 22. The implants were 375cc, textured allergan under the muscle. I removed my implants as the right breast had become very hard and was misshapen due to CC. I did not have the capsules removed. As you can see my right breast is still a different shape from the right - v little lower pole. I know I'm still early in the healing process but wondered if anyone can advise the cause and what I may be able to do in future to rectify? Thanks!

Wayne I. Yamahata, MD · Answer

It would not be possible to make a good assessment and provide proper recommendations without an actual physical examination. Many options could be considered, e.g., removing the capsule, fat transfers,  or performing a lift. It would be premature to proceed with surgery at this early date, but make an appointment with your surgeon to discuss your concerns.

Camille Cash, MD · Answer

You will need to allow more time for your breasts to heal before considering surgical revision options.  I encourage you to meet with your plastic surgeon to discuss your concerns and interventions, such as massage, that may help as you heal.

Alan Gonzalez, MD, FACS · Answer

Hello @rachf3108, thank you for your question and showing your pictures. To avoid any long-term health problems, the surgical plan should include the removal of the capsules, since the capsules are not reabsorbed by the body. By having a breast reconstruction as well, the tissues of the breast can be repositioned and in this way achieve an aesthetic result that is adequate. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD, FACS.

Daniel Barrett, MD · Answer

Dear rachf3108,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

With a hard capsule, the capsule should have been removed, and can still be removed if needed after 6 months from surgery. Your one breast is somewhat larger, so you could have a small breast reduction on the larger side, or a fat transfer to the smaller breast.

Breast shape uneven after explant - how can I rectify it? (photo)

Answers (5)