Inspira SRF 560cc & 520cc, pain & asymmetry - will this need to be corrected? (Photos)

Question

Back in 2016 I had to have a revision surgery due to one of my saline implants rupturing. For my revision I opted to go with round silicone Inspira SRF 560cc implant on the Right, and Inspira SRF 520cc on the Left. I have been very pleased with the way that my breasts look for the past 6 years until I started noticed pain in my left breast, and feeling firmer than usual, and the now asymmetry in the right breast. I do have an appointment scheduled. Just for some feedback before I am seen.

Wess Cohen, MD · Answer

Thank you for your question. Unfortunately, it appears that you have capsular contracture. The treatment will be to remove the implant remove the capsule and then decide on what to do next. Your options are to move the implant to a different pocket, or wrap the implant in ADM. Both of these maneuvers can decrease the risk of developing capsular contracture in the future. Good luck.

Daniel Barrett, MD · Answer

Dear Tmgold73,
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

Connie Hiers, MD, FACS · Answer

You probably have developed a capsule that is causing more pain and the asymmetry. You might get improvement with oral Accolate and external ultrasound.

Richard P. Rand, MD, FACS (retired) · Answer

What you describe and the photos seem to show is progressive hard scarring around the implant called capsular contracture. The main treatment of this is removal of the scar tissues and placement of a new implant.

Inspira SRF 560cc & 520cc, pain & asymmetry - will this need to be corrected? (Photos)

Answers (4)

Answer: Capsular contracture

Answer: Capsular contracture

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.

Inspira SRF 560cc & 520cc, pain & asymmetry - will this need to be corrected? (Photos)

Answers (4)

Answer: Capsular contracture

Answer: Capsular contracture

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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.