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Is this early cc or waterfall deformity? (Photo)

Hi there! I'm 5 weeks post op BA 415cc allergen inspira HP subfascia placement aerola incision. As of the past week I have a constant pulling/ internal tugging on my right breast in the upper cleavage area. Right breast now seems to be getting flat with a downward pulling sensation. If I pull my shoulders back the skin in the upper right cleavage area gets very tight! Feels like something in that area needs to be clipped free. What could this be?

Doctor Answers 6

Is this early Capsular Contracture?

November 17th, 2015
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I would agree with the other surgeons in that you probably needed a lift and not simply placement of large implants in a subfascial plane.  What you may be seeing now is simply the results of your breast tissue sitting too low over implants that are comparatively sitting in a higher position.

My suggestion would be to go back and visit your original Plastic Surgeon and ask he/she about their recommendations moving forward.  In my humble opinion, I really think the only thing that is going to help you achieve an optimal result is to have a breast lift.  

I hope that helps!

Web reference: http://www.beautybybuford.com/breast/breast-augmentation-denver/implant-options/inspira-silicone-gel-breast-implants/

Gregory A. Buford, MD, FACS


Denver Plastic Surgeon
4.9 out of 5 stars 43 reviews

Early cc?

November 11th, 2015
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Hello, it would be uncommon to be developing capsular contracture only 5 weeks after BA surgery.  That stated, you would require a proper breast assessment to try to understand why you are getting these uncomfortable sensations.
William Andrade, MD

William Andrade, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 66 reviews

Subfascial Inspira implants no substitute for a breast lift

November 9th, 2015
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Your pre-op pictures show sagging, and even with large implants the nipples appear low. Subfascial is a nice option to avoid issues such as animation deformity, but regardless of placement sometimes a lift is needed. 

Web reference: http://www.drbaxter.com/uploads/pdf/subfascialthemevariations-1.pdf

Richard Baxter, MD

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 54 reviews

Breast uplift needed

November 8th, 2015
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I would say that you started with significant breast sagging, and having implants without an uplift was your main mistake. The result that you have got is the expected shape for such a procedure in your specific case, and I cannot see any particular healing problem. An improvement would require an uplift, with additional scars.
Ciro Adamo, PhD, MD

Ciro Adamo, PhD, MD
Italy Plastic Surgeon
5.0 out of 5 stars 18 reviews

Breast Augmentation Concern

November 1st, 2015
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Hello,

Your photos depict a predicted appearance after having large, ball shaped implants placed over the muscle in breasts that would have benefited from the addition of a breast lift. Your photos don't show a difference between right and left. 

Your asymmetric sensations will probably dissipate with time. 

Best of luck.

Web reference: http://www.drminniti.com

Gerald Minniti, MD, FACS

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 90 reviews

No waterfall deformity

November 1st, 2015
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but its difficult to appreciate what is happening when you move your shoulders.  Your photos do not show anything of concern and what would be expected when you consider what you started with.  Best to discuss your concerns with your surgeon as he/she is best prepared to address your questions and provide you the reassurances you need.
Curtis Wong, MD

Curtis Wong, MD
Redding Plastic Surgeon
4.8 out of 5 stars 32 reviews

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.