Uneven dropping of implants 12 weeks post BA. Will I need a revision and if so, what type? (photos)

Hi Kadi,It sounds like you may be developing a capsular contracture around the left breast. You should follow the instructions of your surgeon as it sounds like he/she is trying to get you to massage one of the breasts more to relieve it. At this point, there is not a lot you can do, other than massage and wear a good support bra, with less tension on the left side. The left may fall more in the future, so do not panic just yet!Continue to visit with your surgeon and voice your concerns, but time will tell for now.Best,Dr. Christine Rodgers

Hi there, Thank you for your question. From your photos it is apparent that your left breast is sitting higher vs. right in your before and after photos. Massage can help this to come down, massage does take time. If this is an early capsular contracture you can help to resolve it with massage, if massage doesn't work a revision is in order. Follow your surgeon's recommendations for best results. Best, realdrsix

Based on your photo you do seem to be developing a capsular contracture. Usually a revision should take place only after 3 months to make sure your body has healed enough. If a revision is done sooner then it could cause complications that may be more dangerous and would cause delayed tissue healing. Consult with your surgeon as soon as possible.

It looks as if you are most probably developing capsular contracture on your left side. I would suggest that you wait another 3 months for your breasts to completely heal before considering revision surgery. 

Hi, Kadi5390.  I am sorry to hear that you are having issues following your breast augmentation.  Looking at the progress from POD #1 to now, it appears that you are developing a capsular contracture on the left side.  This contracture is causing the implant to be more compressed, narrowed, and elevated and will certainly result in firmness.
At 4 months, it is more difficult to reverse the amount of constriction that you are experiencing with conservative treatment.  If there is still reasonable mobility of the implant, massage may still have some impact.  While it is safe to undergo a revision at this time, in my opinion, and unless you are having complications, it is helpful to give additional time for allow of the post-operative swelling and inflammation to resolve for a more successful revision surgery.  This additional time will also help you to more comfortably determine whether you are likely to show any improvement.
I hope you ultimately achieve fantastic results! Best of luck.

You are still early in the healing process and have chosen large implants. You do not use your arms evenly and it is not unusual for one side to be slower to settle. Implants usually settle over the first 6 months  Continue to do your massages and keep all your follow up visits.  Sometimes external ultrasound treatments can be helpful.

Hello and thank you for your excellent question. It is really hard to say how much the implants are going to change. You may have either more tissue laxity on the right, or the beginning of a capsular contracture on the left. If you are concerned, you should follow up in person with your surgeon or seek another opinion. Any treatment plan should be based on a detailed discussion with equal input from both you and your surgeon.    Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation in person with a qualified board-certified plastic surgeon. Good luck!

Best,

Jon Ver Halen, MD FACS 

Harvard educated plastic surgeon