Breast implant revision #4 - Can I upsize and will removing capsules be beneficial?

Dear munirah97x,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Each time you chose to go larger, you are thinning and stretching your own tissue. Leaving the present capsules can provide some strength to your tissue. Most women cannot support 550-600 cc implants long term. You did not mention your height or weight or how much initial breast tissue you had, so I cannot be specific.

Unless you have a capsular constracture there is no reason to remove the capsules as this can weaken your soft tissue support. If you go bigger I'd suggest an internal mesh bra to provide support and prevent bottoming out.