Possible capsular contracture in the right breast - Do I need a revision? (photo)

Question

Breast revision surgery approx 18months ago. 35 year old, female. I have had a scan to confirm the implants have not ruptured. I would appreciate your opinions, prior to going back to my original surgeon.

Joel Patrick Maier, MD · Answer

More history would be helpful regarding capsular contracture . . . is it changing or painful? Gleaning from your photos, the more noticeable issue is that you have ptosis (sagging of breast tissue off of your implants) and you would benefit from a breast lift to establish a better location of the nipple centered in the middle of the breast mound. Of course, capsular contracture will need to be addressed if present. I hope this helps. Thank you for the inquiry.

Gary M. Horndeski, MD · Answer

Your breasts are wider than your chest wall and your nipple are pointing downward. At this time, I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Rajaie Hazboun, MD, MBA · Answer

Thank you for posting your question here!My answer will be based on the limited information and pictures provided, for a detailed and personalized plan I would recommend consulting with your plastic surgeon in person.
Capsular contracture has many aspects to it , from change in the shape of the breast , changes in the feel of the breast (becomes firmer), and patient discomfort and that might change the degree of capsular contracture and potentially the management of the contracture , so it is hard to weigh in based on pictures alone so I would encourage you to consult with your plastic surgeon in person so they can come up with a plan that works best for you.I hope this helps, best of luck!

Daniel Barrett, MD · Answer

Dear gt1988,

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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

One implant appears to be sitting a little higher than the other, but both are a little high. Plus, your nipples are a little low. I would suggest repositioning your pockets, and going somewhat smaller.  Once the implants are positioned correctly, you may not need the lift.

Camille Cash, MD · Answer

Capsular contracture occurs when the scar capsule that surrounds an implant thickens or tightens around the implants.  This can cause issues such as the breast feeling hard, placement shift, or even pain.  Visit with your surgeon to determine if a contracture is present.  The correct treatment depends on the degree of the contracture.

Possible capsular contracture in the right breast - Do I need a revision? (photo)

Answers (6)

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