Capsular contracture on right breast or implant located too high? (photos)
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Doctor Answers 15
CC vs Malposition
Do you have CC?
Capsular Contracture is a condition in which the capsule surrounding the implant thickens and contracts, squeezing the implant making it overly firm or hard and often changing the shape and position of the implant. As the capsule contracts it moves the implant further up your chest wall making upper portion of your breast too large and unshapely. It is more far more common in nicotine users (e.g. smoking, vaping or nicotine gum or patches).
You need an in person examination to determine if you have CC or not.
Capsular contracture on right breast or implant located too high?
I or nobody in this forum can tell you for sure without an exam. You certainly could have a capsular contracture this early and I would listen to what your surgeon has to say on the issue if you trust them. Usually for a contracture you have to replace the implant and remove the contracted capsule. Fortunately, we are in a time if you have used one of the implant companies that has a policy for contracture they will help cover some of the cost for the implant and surgery. Find out the warranty information on your implants. It was only recently that they began to cover capsular contracture.
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It is likely you have capsular contracture. It is not correct that at three months it is unlikely; it is most likely in the first three months. Regardless, it is also likely you'll need a revision surgery to treat your asymmetry, regardless of its cause. Keep in mind that capsular contracture is the most common complication of breast augmentation that leads to unplanned reoperation, and that periareolar incisions put you at highest risk for capsular contracture compared to inframammary or axillary incisions.
If you are going to have a revision surgery, you should insist on lowering your risk of recurrence, so you should insist on an inframammary incision and a total capsulectomy, or removal of scar tissue. You do not need to invest in an expensive biologic like an ADM, as it has not shown to be superior to total scar removal and replacement with a new implant through an inframammary incision.
Best of luck!
Contracture or displacement
Ritu Chopra MD
Breast Implant Position
In the meantime, try to relax...Good luck!
Implant located too high?
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.