Dent above scar line after implant removal 5 years ago - Will a revision fix this? (photo)

Question

Hello! I had my implants (under muscle) removed 5 years ago. Prior to that I had a revision for Symmastia and I’ve had complications since then. Well I removed my implants and now I occasionally have pain when I flex my muscles also I have this indent above my scar line when I lift my arm. Will a revision fix this? Is it scar tissue/adhension? The pain on my pec muscle is it also scar tissue? I did not do enbloc or capsule removal, just removed implants. Thanks!

Kevin Brenner, MD, FACS · Answer

JustSmile0414-
This area of indentation appears to be scar adhesion down to the chest wall. I have found in similar cases, that fat grafting with subscission...can be a great treatment for this.

Daniel Barrett, MD · Answer

Dear JustSmile0414,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Shaher W. Khan, MD · Answer

Hello, thank you for your question. It looks like you are possibly experiencing some post-explant complications that may be related to scar tissue, adhesions, or residual effects from the implant surgery, particularly given the symmastia revision and the fact that the capsule was not removed during explant. Please see the attached video that discusses your question in detail. I recommend consulting with a plastic surgeon who specializes in breast revision surgery, scar tissue massage or physical therapy might also help in some cases to release tension in the muscles or skin. A capsulectomy could alleviate the pain and improve the contour.

Camille Cash, MD · Answer

The contour near your incision could be from scar tissue pulling.  An exam by your surgeon should get you answers to your question.  A small revision should be able to improve this.

Connie Hiers, MD, FACS · Answer

The dent is because of thin tissue in the area. A fat transfer with or without a scar revision could be helpful. I would try the scar revision first to see if more tissue can be advanced in that area.

Dent above scar line after implant removal 5 years ago - Will a revision fix this? (photo)

Answers (5)

Answer: Contour irregularities

Answer: Contour irregularities

Answer: Dent

Answer: Dent

Recommended reading

Everything you need to know about Breast Implant Removal

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

Dent above scar line after implant removal 5 years ago - Will a revision fix this? (photo)

Answers (5)

Answer: Contour irregularities

Answer: Contour irregularities

Answer: Dent

Answer: Dent

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Removal

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