What could be causing shape difference? Feeling of heaviness on the left rounder breast. What can be done to correct it? (photo)

4 mo post op.375cc's silicone,round,hp, under muscle.Unhappy w/shape difference.Noticeable in bikini. L breast looks/feels larger, higher.Don't have a pref. on which shape, just want them to be similar. Doc says poss. muscle spasm. Gave me muscle relaxers. Taken 2 months now. And singular just in case. He Thinks I don't have cc bcs L breast is just mildly firmer than the R. I'm only on singular for 6 wks. Sensation I constantly feel on the L is on top of nipple and around the top of the breast.

Doctor Answers 5

Early contracture vs difference in pocket dissection

If this was always the case after surgery, it might be due to asymmetry in the pocket dissection. If you were initially symmetric after surgery and this has been occurring since that time, you could have early capsule contracture and require treatment for that. You should check back with your surgeon.

Santa Barbara Plastic Surgeon
4.8 out of 5 stars 17 reviews

Asymmetry following a breast augmentation.

Difficult to determine if you have an early capsular contracature or just implant malposition.  An examination would be necessary to differentiate the two problems.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Breast augmentation capsular contracture

It appears you are developing capsular contracture.  You need close follow-up at this point.  Your PS can decide if other intervention is warranted.

Peter Kreymerman, MD, FACS
Cary Plastic Surgeon
4.8 out of 5 stars 17 reviews

Shape/texture discrepancy could be capsular contracture

Thanks for your question-- The size and shape discrepancy you describe could represent a capsular contracture.  The fact that one breast feels firmer lends more credence to this diagnosis.  Singulair may help, but is FDA off-label for this condition.  It's best to keep in contact with your plastic surgeon, and if this does not improve, you may need exploration, capsulotomy (release), or capsulectomy (removal of the scar capsule), and other methods to decrease your chance of capsule. These include textured breast implants, possibly the use of an acellular dermal material can make capsular contracture less likely as well.  Best regards,
-Erik Hoy, M.D.

Erik Hoy, MD
Warwick Plastic Surgeon
5.0 out of 5 stars 2 reviews

Firmer higher breast 4 months after augmentation could be capsular contraction

The most common cause of a firmer higher tender breast after breast augmentation is capsular contraction.

However it seems as though your plastic surgeon is following you carefully  and you need to follow-up with him or her in follow their advice.  If it turns out you do have a capsule a capsular release or capsulectomy can be done.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.