Should I get 2nd opinion on treatment/capsular contracture after hematoma? (Photos)

This is an incredibly complex problem that likely requires removal of the capsule around the current implant and replacing with a new implant. I would recommend seeing a board-certified or board-eligible plastic surgeon with aesthetic surgery training and experience to tackle this type of problem in a safe and efficient manner. Best of luck!

Thank you for your question. No, you shouldn’t use the same implant and get augmentation surgery before treating the infection completely. If there is a definite bacterial infection, it is desirable to remove the implant, remove the infected capsule and tissues, and then treat with antibiotics to completely resolve the infection, and then insert the implant again after at least 6 months. The opposite side also has severe capsular contracture, so it would be better to remove the capsule with the implant on the other side as well.

Hello @Nurturing496553 As a plastic surgeon, I often tell my patients that it is wise to get a second opinion when considering any type of surgery. This is especially true when it comes to revision surgery, especially with what happened in your first surgery. Be wise when it comes to plastic surgery. It can change your life for the better or for the worse. Best wishes! Alan Gonzalez MD, FACS.

If you have an infection the implants need to be removed. If an implant is placed again it will get infected. You need to let the infection resolve for six months and then decide where you want to go from there.

I am sorry you have had these complications. Now you appear to have necrosis of inframammary fold skin and extrusion of the implant on the R side. This area of skin will need to be excised. It may be best to remove both implants and address the area of skin involved and let everything heal before placing new implants in. Once healed and the scar matured, you can decide how to proceed.

Dear Nurturing496553,
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

Your implant is exposed, contaminated, and needs to be removed now. No, you cannot use the same implant. You will need to wait and let the tissue heal before getting a new implant replaced. Both of your implants are too large and your frame and tissue, and you can downsize with the second procedure.

Yes but better yet appears in posted photo #2 you hae exposed implant! That needs to be removed asap!!!! Seek surgery, please.

Both breast look bad. Get a second opinion. Most plastic surgeons would change the implant except if a minor capsulotomy is done. The 2 photos are not the best to determine what is going on

Second opinion. It is unfortunate that you had the problem with hematoma and infection. These kinds of complications are really tough on the patient and surgeon. They stress the relationship too.

It seems to me that using the same implant is not a good idea. I think most plastic surgeons would use an new implant.

Your pictures suggest a bilateral revision is in order.

Second opinions are often a good idea, but beware of trouble makers that may speak poorly of your original surgeon to boost their own egos.

Good luck