3 years post op, one breast is still higher and more firm - Can this be capsular contracture? 215 cc high profile, dual plane.

Hello !

It could be from capsular contracture, which can cause a variety of symptoms. A surgery would be necessary to treat this. You could get new implants at the same time.

I think you would greatly benefit from a revision to correct the asymmetries between your two breasts.

Best of luck,

Randal Haworth

Your description suggests that you may have a capsular contracture. Confirmation requires a physical examination of your breasts. Should surgery be necessary, in most cases you could replace the implants with larger prostheses.

Hi Dynamic6343, One implant/breast being higher than the other is not the concerning part because breasts are not usually level. The concerning part to me is that one is firmer than the other. Your doctor should feel them and decide if he/she thinks it could be capsular contracture. If it gets too uncomfortable or distorted surgery would be indicated. (you could change implants at that point). My best advice is to see your surgeon.

Dear Dynamic6343,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Your left implant is actually bottoming out so I do not suggest going larger. That pocket needs to be lifted and tightened and you might need some mesh for better support. going larger is heavier and more likely to drop down again. An examination is needed to see if anything needs to be done to the right. On your photo, that breast looks good.

The appearance of the right breast does suggest there may be capsular contracture. An examination would be required to better delineate. Surgery is not mandatory at this time, but it could progress and bvgin to become painful.
Surgical release could improve this. Implant size change absolutely can happen at the same time!

Even with nicely posted photos you need in person examination or at least a detailed virtual examine. Yes you most likely have capsular contracture. Exchange with open capsule releases indicated. Fees in the $8,000+ ranges.