Breast implant is fuller near cleavage, plus it’s firmer and I can feel ripples - is this capsular contracture? (photos)

Question

Hi, a while back I had an augmented mastopexy with 240cc siltex memory gel implants. I developed a seroma on one breast which resulted in implant extrusion, then having to hsve the implant removed. I have surgery booked to have the new implant in the empty breast replaced, however… I have issue with my good breast! It’s firmer and fuller on the side by my cleavage and I can see / feel ripples. Is this capsular contracture?

Leila Kasrai, MD, FRCSC · Answer

Please see your surgeon for an in-person assessment. They can let you know if you do in fact have capsular contracture. It is difficult to say based on your photos alone.

Derek Fletcher, MD · Answer

Thank you for your question. The hallmark of capsular contracture is implant firmness. Implant rippling can be present early in the progression of cap con. But, over time, the rippling usually disappears as the capsule thickens. You should discuss your concerns with your surgeon. If your implant is visible, fat grafting can help reduce rippling.

Daniel Barrett, MD · Answer

Dear ricey_79,I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

Symptoms of capsular contracture can include firmness of the breast and shifting of the position.  Your surgeon can help determine if it is indeed capsular contracture and what the best option is to treat it.  I've included a video on this that I hope you find helpful.

Connie Hiers, MD, FACS · Answer

You can still have ripples with gel implants, especially if they are not placed behind the muscle. Your surgeon may be able to transfer fat to help this.

Breast implant is fuller near cleavage, plus it’s firmer and I can feel ripples - is this capsular contracture? (photos)

Answers (7)

Answer: Capsular contracture

Answer: Capsular contracture

Answer: Ripples

Answer: Ripples

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Everything you need to know about Breast Augmentation

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Breast implant is fuller near cleavage, plus it’s firmer and I can feel ripples - is this capsular contracture? (photos)

Answers (7)

Answer: Capsular contracture

Answer: Capsular contracture

Answer: Ripples

Answer: Ripples

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Recommended reading

Everything you need to know about Breast Augmentation

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