Correction of symmastia, capsular contracture, lateral displacement and animation deformity?

Question

I had a breast augmentation done a year ago. And I've felt something was off about them for a little while. My PS dismissed my concerns, so I got other opinions. After two consults I was diagnosed with mild/moderate symmastia, lateral displacement, and grade 3 capsular contracture on the right side. As well as severe animation deformity. But they both want a different approach to correct it. What are my options to get these issues corrected? It's a lot going on at once.

Gary M. Horndeski, MD · Answer

The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Magical688686,
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 need to post better and upright photos so I can get a clearer idea of all the issues. However, you have been to 2 surgeons, so go with the one you prefer.  the lateral pocket can be tightened, and the capsule can be released with an implant exchange. You one upright photo is before surgery so I can say nothing about symmastia.

Jason Pozner, MD · Answer

Post some photos. Based on the description, i would do a capsulectomy and use Strattice or Galaflex for pocket repositioning
There are 2 issues- capsular contracture and a pocket malposition. Both need correction for a good result

Correction of symmastia, capsular contracture, lateral displacement and animation deformity?

Answers (4)

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