Is this Grade I/II capsule contracture? (Photo)

Question

750 cc Mod+ Natrelle implant on the right ruptured after 15 years in Jan 24'. Revision performed Mar. 24 w/755cc Mentor HP extra + bilat. Capsulorrhaphy. 2 weeks after surgery, right breast much lower than the left. Underwent a revision to the right breast in Sept. 24' w/revision to lateral capsulorrhaphy and mesh placed. Month and a half out of surgery, right breast is increasingly riding up right chest. Now the top of my breast is all implant and my IMF is higher. Is this capsular contracture?

Daniel Barrett, MD · Answer

Dear LElise28,

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

Gary M. Horndeski, MD · Answer

You have complicated history and your implants are quite large.  The use of mesh does not always guarantee that you will not have recurrence.  It may be possible that your wound is contracting normally with healing, not that it is a capsular contracture.  You will have to wait 6 months before deciding on the final opinion.  If you are dissatisfied with your results after 6 months, then you may want to consider smaller implants that will be more stable and long term.

Best Wishes,

Gary Horndeski, M.D.

Is this Grade I/II capsule contracture? (Photo)

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