Planning en bloc surgery for severe capsular contractor - Best lift for a perky end result? (Photos)

Question

I am planning enbloc surgery for my severe capsular contracture on both sides that has changed the shape and position of my under muscle implants. I was a small A cup before implants a D with them (implants in 23 years). I was never looking to be this large. I would like to return to an A cup size, or small B. I will seek fat transfer if I need additional fullness. I do not want to have any sag. I would like to have a very perky shape and nipple position. What type of lift is best for me?

Michele A. Shermak, MD · Answer

Hello!
As long as you are healthy and a nonsmoker (including not vaping) you should be a fine candidate for the removal of implant and capsule with a breastlift . It is also most optimal that there is no history of augmentation above the muscle in the past. You should have good blood supply to the breast and therefore lift may be performed safely if connection between the breast and pectoralis muscle has been maintained. Lift may either be performed through an anchor incision or lollipop incision - whichever will give you the best lift and symmetry.
It is extremely difficult and dangerous to plan on en bloc removal of capsule with under the muscle implants as the "backwall" of the capsule is on your ribs. You are at risk for lung collapse if the capsule is adherent to your ribs and attempt is made to remove that capsule. There will be no increased symptomatic benefit if some of the capsule is maintained.

Dhaval M. Patel, MD · Answer

Thank you for sharing your photos and for your questions. From your photos, you are a good candidate for enbloc and breast lift with fat transfer to bilateral breast. Breast lift will elevate & reshape your breast. Fat transfer will add upper pole fullness to give your breast more volume and shape. Your expectations and health will dictate the best procedure(s) for you. I suggest a consultation with a board certified plastic surgeon to go over the options that best address your goals. Best of luck!

Dhaval Patel MD 
Double Board Certified Plastic Surgeon 
Chicago 
South Barrington 
Oakbrook 
Orland Park

Alan Gonzalez, MD, FACS · Answer

Hello @BlessengsTX, thank you for your question. You can have the results you want with an explantation with a capsulostomy, that would require a breast reconstruction to ensure that the breast doesn't look deflated, since removing the prosthesis will result in repositioning of the mammary tissues. In this way, you would achieve an aesthetic result you would be happy with. The most appropriate course of action is to consult one or several board certified plastic surgeons. This will allow you to get more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez, MD FACS.

Camille Cash, MD · Answer

From your photos it appears you are a good candidate for implant removal and a lift.  Depending on the amount of natural tissue you have a small implant may be recommended to shape the breasts.  See a board certified plastic surgeon near you for a personalized consultation.

Eric Wright, MD · Answer

Several factors determine the need for a breast lift following implant removal.  The amount of projection  will depend on the how much breast tissue you have.  Due to the capsular contracture, you are able to see the implant (very high on your chest) and the breast tissue (lower).  The upper breast will not have the fullness or projection after implant removal, regardless of the type of lift performed.  Fat transfer will help with providing more projection in this area.  The type of lifts varies depending on measurements but based upon the photos, I would recommend a vertical lift.  Discuss your goals with a board certified plastic surgeon who specializes in breast surgery.  Good luck with your recovery.

Dr. Eric J. Wright

Planning en bloc surgery for severe capsular contractor - Best lift for a perky end result? (Photos)

Answers (10)

Answer: Breast implant removal

Answer: Breast implant removal

Answer: Breast Lift after Implant Removal

Answer: Breast Lift after Implant Removal

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Planning en bloc surgery for severe capsular contractor - Best lift for a perky end result? (Photos)

Answers (10)

Answer: Breast implant removal

Answer: Breast implant removal

Answer: Breast Lift after Implant Removal

Answer: Breast Lift after Implant Removal

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Recommended reading

Everything you need to know about En Bloc Capsulectomy

Our mission is to create a world where every investment in modern beauty is Worth It.