I'm in my mid 20s and had silicone implants (250cc and 275cc) placed under the muscle 2 years ago. My right side has grade 2 capsular contracture, doesn't hurt just sits a bit higher than left side. I made the decision without giving much thought and just want to be back to my natural self. I didn't have much breast tissue before, went from size A to small C. In my situation, how likely will my breasts return back to normal? Would a total capsulectomy be the best recommendation? Thanks
Answer: Removal and Replacement Options Without seeing you for an in-person consultation, it is hard to predict the outcome of your breasts after explantation. Several factors will impact your result aside from the implant removal. Over time, the skin's elasticity may decrease, impacting the ability for the skin to bounce back. Significant or frequent weight changes will impact the elasticity and the volume of your breast tissues. Age and life changes like pregnancy will also influence how well your breasts will rebound. From your information, I believe you will have less trouble than the average explant patient in rebounding to a close and reasonable recovery due to the smaller implant size, the relatively short time you have had the implants, your age, and your original cup size. The only significant factor you have not told us about is any life changes, like pregnancy. If you have had a pregnancy or other significant life impact, you may need additional procedures to achieve the look you once had, like a breast lift or fat grafting along with your explantation. A consultation with a board certified surgeon to review your options would help decide the best surgical plan moving forward. Thanks!
Helpful
Answer: Removal and Replacement Options Without seeing you for an in-person consultation, it is hard to predict the outcome of your breasts after explantation. Several factors will impact your result aside from the implant removal. Over time, the skin's elasticity may decrease, impacting the ability for the skin to bounce back. Significant or frequent weight changes will impact the elasticity and the volume of your breast tissues. Age and life changes like pregnancy will also influence how well your breasts will rebound. From your information, I believe you will have less trouble than the average explant patient in rebounding to a close and reasonable recovery due to the smaller implant size, the relatively short time you have had the implants, your age, and your original cup size. The only significant factor you have not told us about is any life changes, like pregnancy. If you have had a pregnancy or other significant life impact, you may need additional procedures to achieve the look you once had, like a breast lift or fat grafting along with your explantation. A consultation with a board certified surgeon to review your options would help decide the best surgical plan moving forward. Thanks!
Helpful
February 26, 2017
Answer: Removing implants less than 350 Breasts snap back well after small implant removal. Make sure your surgeon repairs the pec muscle, as it looks a lot better!!! And it's nice to have your pec muscle fully functional again. If you've got a cap con, have him/her take out the capsule on that side too. These are often associated with biofilms and there's a small risk of chronic seroma if it's left behind. Final idea... small volume fat grafting. Since you had a breast aug for a real reason in the first place, a little fat looks great to make up for the lost implants partly and leave breasts filled out looking, not droopy.
Helpful
February 26, 2017
Answer: Removing implants less than 350 Breasts snap back well after small implant removal. Make sure your surgeon repairs the pec muscle, as it looks a lot better!!! And it's nice to have your pec muscle fully functional again. If you've got a cap con, have him/her take out the capsule on that side too. These are often associated with biofilms and there's a small risk of chronic seroma if it's left behind. Final idea... small volume fat grafting. Since you had a breast aug for a real reason in the first place, a little fat looks great to make up for the lost implants partly and leave breasts filled out looking, not droopy.
Helpful