Capsular contracture on left breast! Horrible scars under both uplift (Photo)

Question

I had a MM at a clinic n Miami that is now closed thank God! However I have a capsulelted contracture in left breast that is starting to give me more pain more often! I was wanting to know what it would you think as well a a idea of what im looking to spend to fix this as I need it done asap thank you for your time.

Gary M. Horndeski, MD · Answer

The
technique I recommend is explantation using The Bellesoma Method.  Your implants are removed, the 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 and the ability to breast feed
are maintained, if not injured during your previous surgery.  At the same time or later, fat transfer can
be performed if additional volume is desired. 
Explantation eliminates capsular contracture and removes the weight of
the implant from your chest wall.  Best Wishes,Gary Horndeski, M.D.

Anita Patel, MD, FACS · Answer

I am sorry to hear of your experience. These photos show numerous problems: 1-implants way too large for your body, 2-extensive stretch marks, 3-the appearance of thin and poor quality soft tissue envelope (one would need to see you in exam to be sure), 4- asymmetry, 5-capsular contracture, 6-poor scarring. It is hard to understand the implant choice, and it is upsetting since board certified plastic surgeons (not sure if your surgeon was one) should have an understanding of the permanent damage that can occur when placing extreme sizes in patients with poor/thin skin envelopes. None of these problems are surprising given the implant choice. Extreme implants are more likely to have capsular contracture, are more likely to cause stress on the skin resulting in extensive stretch marks, are more likely to cause further tissue thinning of your natural tissues (and may even be causing deformity of your rib cage underneath), and result in widening of scars when done with a lift. Unfortunately fixing this will require multiple steps and will be quite costly compared to the initial surgeries. I recommend downsizing your implants for sure, addressing the capsule, placing the implants in a new pocket and under the muscle if they aren't already. Supportive material such as mesh or Alloderm or other material may be required, and revision of the lift will also be required. Fat transfer can also be helpful, though you look quite slender from what we can see, and may not have donor fat to use. Please be sure to start with an in person consultation with a board certified plastic surgeon (certified by the American Board of Plastic Surgery) who has experience with complex breast revisions.

Thomas Trevisani, MD · Answer

In order to evaluate most accurately- especially when it comes to revision surgery in person exam is essential. Based on the submitted photos- it appears that you would require several stages of procedures in order to achieve the most pleasing result. It is not inexpensive-especially in the right hands- but has to be done right. I recommend that you seek an experienced Board Certified PS for in person exam

Daniel Barrett, MD · Answer

Dear Foxy1967,it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Kenneth R. Francis, MD, FACS · Answer

Dear Foxy1967,These are the consequences of asking for implants that are too large for your body.  You are now faced with a difficult to correct breast condition.  The correction plan and prices may vary greatly between different surgeons in different geographies.  Consultation with a few American Board of Plastic Surgery board certified plastic surgeons will help guide you to the corrective action.  Good luck!

Darryl J. Blinski, MD · Answer

Sorry for the very poor breast results and postoperative complications. But you chose the clinic path with a non boarded PS! Now ONLY in person examination and a planned multiple revision surgeries can help improve your results. After examining you. I would recommend 1st surgery as decrease implant size, open capsulotomy/ectomy, fat grafting, scar revisions- Fee $12,000. After 4 months healing than determine exact second revision operation needed.

Jason Pozner, MD · Answer

I approach these type cases very systematically - the pocket and capsule repair then the skin envelope and nipple areolar  shape and position. The capsular contracture is treated with complete capsulectomy, conversion to submuscular pocket if over the muscle, wash with hypochlorous acid then antibiotic irrigation, Strattice placement, new implants and and a drain. In the same surgery the skin envelope is corrected with excision of excess skin and movement of the nipple/areolar complex if needed. I have found this is the best course of treatment for capsular contracture at the present time.

Jon Ver Halen, MD, FACS (license suspended) · Answer

Hello and thank you for your excellent question. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!
Best,
  
Jon Ver Halen, MD FACS
  
Harvard educated plastic surgeon
  
Texas “Top Doc” 2017, 2018
  
RealSelf100

Capsular contracture on left breast! Horrible scars under both uplift (Photo)

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