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!

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

Answers (8)

Answer: Capsular contracture

Answer: Capsular contracture

Answer: The consequences of asking for too much

Answer: The consequences of asking for too much

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.

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

Answers (8)

Answer: Capsular contracture

Answer: Capsular contracture

Answer: The consequences of asking for too much

Answer: The consequences of asking for too much

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.