One side won't drop after 11 months (photo)
Doctor Answers 11
You have capsular contracture, a very common complication after breast augmentation, especially when it is performed though periareolar incisions. Unfortunately, you have been wasting your time doing massage; this does not prevent or treat capsular contracture.
Your surgeon is correct, you will need a second surgery. However, I recommend you seriously consider the importance of minimizing the recurrence of capsular contracture by making the right choices for you surgery:
1. access through an inframammary incision to avoid recontamination of the implant.
2. complete removal of all the scar tissue around the affected implant, all in one piece, to minimize recontamination of the pocket.
3. replacement with a new implant, not the old one that has been 'cleaned'. Your implant is likely covered in a biofilm that contains bacteria and it cannot be completely removed off of the surface of the implant.
4. you do not need an expensive biologic material known as ADM, with brand names like Alloderm or Strattice.
Best of luck!
Breast implant won't drop
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Capsular Contracture after Breast Augmentation
Breast implant asymmetry
This can be due to a number of possibilities. Certainly an early capsular contracture needs to be considered, especially if your left breast is more firm or sore. If your surgeon used textured implants, your left breast may have adhered more firmly than the right. And there is also the possibility of a double capsule on the left.
It would be best to discuss your concerns with your original surgeon so that they can go through your options due to your concerns.
Were they always like this or did the left one go up and harden?
Most surgeons feel that the breast capsule stabilizes sometimes between 3-6 months. Usually, after 6 months, the capsule is likely mature. Although there is long term remodeling, if the implant is not in the ideal position, a revision surgery to remove or manipulate the capsule is likely needed after the 6 month mark. Every case and person is unique. There are also differences between silicone vs. saline and textured vs. smooth implants.
Implant position after surgery should be discussed with your board-certified Plastic Surgeon to discuss treatment options.
Best of luck!
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.