1 year post-op & breasts still have very round appearance in cleavage & upper pole, capsular contracture? (Photo)

It appears your breasts have capsular contracture. It appears the implants may be in front of the muscle not behind. You will need a revision with possible removal of capsules and replacing the implants in a different pocket.

Best Wishes,

Gary Horndeski, M.D.

Hello and thank you for posting! It seems like your implants have stoped settling and one is higher then the other. Implants under the muscle are a great option especially for patients like yourself that do not have a lot of breast tissue to cover the implants, but one of the draw backs is that they sometimes settle a bit too high. Even after a year, they can eventually drop with massages, and/or varios other techniques you can discuss with your plastic surgeon so there is no need to rush into surgery yet.

This may happen because the pocket is a little tight so the implants just dos not drop as much as it should and sometimes this can be due to a capsular contraction. This impossible to determine without an in person evaluation though.

Capsular contraction is associated with stiff / hard breasts. The capsular contracted breasts may eventually be deformed and even become painful when manipulated. This does not seem to be your case.

I would guess your high implant position is probably due to a small pocket and/or strong pectoral muscles holding on to the implants. The good news is, treatment for both would be the same and is fairly simple Pocket Revision with or without Implant Exchange.

Best of luck,
Dr. Miguel Mota

Capsular contracture can cause breast implants to change shape and become stiff. My recommendation would be a revision to remove the capsule, taking all measures to avoid future encapsulation. You should be able to improve this situation.

You may have a capsule, especially since it does not feel soft. I suggest going back to your surgeon and being examined.

Dear akhhbv,
Round breast implants in very thin patients, such as yourself, often appear round. You simply don't have enough tissue coverage over the implants to give a tear drop look. The issue of capsular contracture is best assessed by in person examination and depending on the implant manufacturer may be covered under warranty for replacement. Good luck!

You either have capsular contracture or implant displacement caused by the muscle .
You will need to be seen in consultation.

Sorry for the poor outcome. Only 1 posted photo? Plus need before photos to evaluate if you had asymmetry to volume and shape? Best in person or virtual consult with... Need full revision with open capsulotomies, infra fold lowering, exchange to HP implants, etc. Fee $10,000+....

To make an accurate assessment regarding the outcome of a plastic surgery procedure we generally always need to see proper before and after pictures. If you don’t have before, and after pictures and ask your surgeon to forward the pictures they took. The capsular contraction usually means the implant feels firm. In the most extreme, the implant will feel like a tennis ball.
Your outcome may be partially explained by what your breast look like before surgery and in park based on how the procedure was performed.
To get an accurate assessment regarding your current outcome, including an assessment for possible capsular contraction I suggest either following up with your provider for scheduling in person second opinion consultations. For a second opinion, consultations come prepared to bring with you a complete set of before and after pictures and a copy of your previous operative report. They should be available from your current provider.
Best,
Mats Hagstrom, MD