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

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.

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

First, en bloc surgery is for cancer surgery only and not for removal of the capsules. Have the implants and capsules removed first and give your breasts time to heal. Then, if you have enough blood flow to the nipples from breast tissue and not skin, a lift could be done. You do need donor fat to have a fat transfer. If you have little breast tissue, you will only have a small amount of fat that can be transferred.