400cc, silicone, capsular contracture, sagging & large areolas, what procedures would you suggest? (Photos)

Hi RM,
I'm sorry to hear you're suffering from this! There are many things we, in the medical community, know about capsular contracture but there are aspects of the condition that remain unknown. To answer your question, you can indeed, suffer from capsular contracture again. Anecdotal evidence shows that those who have had it are more likely to have it again. Every surgeon and implant manufacturer will give you a different stat, but globally the incidence of capsular contracture is about 3-5% of patients who undergo breast implant surgery. Electing to go up in size or to a higher profile will lift the breast a bit, but if your goal is for the breasts to be considerably higher, you will need a mastopexy. The areolas can be reduced during a mastopexy procedure, so that could address both of your concerns.
I wish you the best of luck in your search for treatment!
- Dr. Nik

You have large areolas, ptosis, and asymmetry. My recommendation would be a vertical lift with the same or slightly smaller implants. I would not recommend a Benelli lift to reduce your areolas since this would possibly leave a hypertrophic scar around your areolas.

Dear rm007,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery