Bottom out and capsular contracture twice. What are my options and what can I do?

Question

I had my original breast augmentation 275cc silicone, in 2017. I bottomed out on left side a month after surgery, but then the left side developed a bad contracture and lifted. My right breast bottomed out badly in 2019. I had revision surgery in 2021 to fix the ruptured implant for capsular contracture, and bottom out on my right side. Now my right side has a contracture and my left side is bottomed out. My surgeon used galaflex and internal stitching. The results look terrrible, now what?

Daniel Barrett, MD · Answer

Dear QB3,breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Richard Baxter, MD · Answer

Capsulectomy and implant replacement is the standard treatment for capsular contracture, but often leaves inadequate support. Gala is good for support but there isn't much known about it for contracture. Strattice is my go-to for recurrent contracture because it adds the support that the capsulectomy takes away and there is evidence that it helps prevent recurrent contracture.

Connie Hiers, MD, FACS · Answer

You might do best with removing the implants and trying fat transfers for now. Once healed, then consider implants again, but avoid large heavy implants.

Bottom out and capsular contracture twice. What are my options and what can I do?

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Everything you need to know about Breast Implant Revision

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Bottom out and capsular contracture twice. What are my options and what can I do?

Answers (3)

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Recommended reading

Everything you need to know about Breast Implant Revision

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