Capsular contraction right side? (Photo)

Question

This is about 7 months after a breast revision surgery. After the first surgery in Oct 2021 (exchange of implants and a breast lift) I soon developed a mild capsular contraction in the left breast. In Jan 2023, we did the revision. He removed the capsule of the left breast and did a mild lift on the right breast. Now I seem to have a capsular contraction on the right side. It is soft, but looks like a rectangle, especially with my arms raised. Do you agree? Advice?

Daniel Barrett, MD · Answer

Dear SidneyA,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Shana Kalaria, MD · Answer

I would talk with your surgeon about starting medications to prevent worsening. I would also start to discuss possible capsulectomy and revision again. Please visit with a board-certified plastic surgeon. Good luck!

Connie Hiers, MD, FACS · Answer

If this difference bothers you, then go back to your surgeon. If both breasts are soft, you might accept the difference. If one is more firm, oral Accolate and external ultrasound might be very helpful.

Douglas Taranow, DO, FACOS · Answer

With a mild capsular contracture, I would be conservative at this point.  Three time a day moderately aggressive massages and consider taking Doxycycline (antibiotic) and Accolate or Singulair for several months and then re-evaluate.

Arthur Shektman, MD · Answer

Based on  your photos I don't think you have a capsular contracture.   Although without an in person examination it it impossible to tell.

Capsular contraction right side? (Photo)

Answers (5)

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