I had a simple breast augmentation almost 7 months ago. 325cc under the muscle, inframammary incision. Recently I noticed that one breast has flattened or deformed on the lower outer side. I can't find anything that would explain why this would happen at this point - is it a sign of capsular contracture? I've attached 2 pictures from the first 2 months of recovery, and 2 recent pictures. Maybe it is subtle to others but really noticeable to me.
March 5, 2023
Answer: Capsular contracture Dear jinkies,
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March 5, 2023
Answer: Capsular contracture Dear jinkies,
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March 4, 2023
Answer: Breast Shape Changing After Augmentation Several possible phenomena may explain change in augmented breast shape months after the procedure. Yes, one of these is peri-prosthetic fibrosis (capsular contracture). Contracture is often localized to one or more areas around an implant more than others which may cause firmness in that area or an eccentric shape that was formerly round. Effect of the pectoralis major muscle on the implant may also change implant shape over time, and of course instantly with muscular contraction. Newer highly cohesive implants are more solid than implants of the past, and when compressed by a bra or tight clothing may maintain that shape for a period of time until compression is released for a while and the implant will return to its round shape provided the capsule accommodates this. Shape change or flattening on one area of the breast may occur upon rotation or displacement of shaped (form-stable, or "teardrop") breast implants, but this possibility doesn't apply if yours are round. Newer double lumen saline implants (IDEAL) may change shape and lose a small amount of volume upon deflation of the outer lumen. Simple resolution of swelling may change the apparent shape of your result months after the procedure. If you're wearing bras that push upward and inward on the lower outer portion of the implant, this may elevate and flatten the lower outer portion of the implant and re-shape and re-position an inframammary fold that was shaped at surgery to accommodate the round implant.
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March 4, 2023
Answer: Breast Shape Changing After Augmentation Several possible phenomena may explain change in augmented breast shape months after the procedure. Yes, one of these is peri-prosthetic fibrosis (capsular contracture). Contracture is often localized to one or more areas around an implant more than others which may cause firmness in that area or an eccentric shape that was formerly round. Effect of the pectoralis major muscle on the implant may also change implant shape over time, and of course instantly with muscular contraction. Newer highly cohesive implants are more solid than implants of the past, and when compressed by a bra or tight clothing may maintain that shape for a period of time until compression is released for a while and the implant will return to its round shape provided the capsule accommodates this. Shape change or flattening on one area of the breast may occur upon rotation or displacement of shaped (form-stable, or "teardrop") breast implants, but this possibility doesn't apply if yours are round. Newer double lumen saline implants (IDEAL) may change shape and lose a small amount of volume upon deflation of the outer lumen. Simple resolution of swelling may change the apparent shape of your result months after the procedure. If you're wearing bras that push upward and inward on the lower outer portion of the implant, this may elevate and flatten the lower outer portion of the implant and re-shape and re-position an inframammary fold that was shaped at surgery to accommodate the round implant.
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