Right breast is smaller and a weird shape post explant - do I need a revision? (photos)

Question

Breast implant removal 8 days ago. Right breast is considerably smaller and a weird shape. Am I deformed permanently? Breasts where symmetrical pre-implant. Surgeon said implant removal on right breast was 'very difficult' as capsule was completely stuck, he couldn't even remove it all. I can feel fluid on right breast when I get out of bed. Do I need breast revision?

Shaher W. Khan, MD · Answer

Hello, thank you for your question. It sounds like you're dealing with some unexpected challenges after your breast implant removal. The attached video provides a breakdown of what could be going on and what your next steps might be. The best course of action is to stay in close contact with your surgeon to address any ongoing concerns and determine whether revision surgery is needed.

Anna Steve, MD · Answer

If breast capsule is removed on one side and not on the other it can cause asymmetry between the two breasts after explant surgery. There are a number of different options for treating breast asymmetry that would not involve putting an implant back in.

Alan Gonzalez, MD, FACS · Answer

Hello @Cheerful267693, thank you for your question. Remember that there is a scarring maturity process that can last one year to one an a half year so you can have a revision. I link a video to shed more light. It is essential that you consult with a plastic surgeon who has experience with this procedure if you are considering breast revision surgery to ensure optimal results. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)

Camille Cash, MD · Answer

I understand your concern but more time is needed to determine how the tissues will settle.  I encourage you to discuss your concerns with your surgeon and follow all post operative instructions.  If revision surgery is needed it would not occur for a few months yet.

Daniel Barrett, MD · Answer

Dear Cheerful267693,
I understand your concern and it is quite normal to be concerned about the outcome following a breast surgery. However, you are still in the very early stages of the healing process at 8 days post op.You will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues are still swollen. Once the swelling subsides, you will be able to see the final result of your breast surgery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Right breast is smaller and a weird shape post explant - do I need a revision? (photos)

Answers (5)