Can asymmetry be caused by capsular contracture or a shallow pocket? What are my options for revision? 9 months post op (photos)

Question

I am 9 months post op. I had transaxillary incision. 220 cc silicone in both breasts. The right one has obvious asymmetry. I don’t have any pain and no noticeable difference in firmness between the two breasts but wonder if capsular contracture is the reason for why my right breast is not dropping and looks misshapen. Or is it the pocket needed to be dissected further? Would a slightly larger cc in the right breast help even out assymetry? Or try ASPEN? Other recommendations for revision? Thanks.

Anna Steve, MD · Answer

Capsular contracture is a common cause of asymmetry after breast augmentation. It can cause asymmetry alone or asymmetry with discomfort. The treatment for capsular contracture usually varies depending on severity and if it's recurrent or the first time it's happened.

Gianfranco Frojo, MD · Answer

I would wait a full year before considering any revisionary procedure. if you had a short inferior pole or smaller lower pole, a transaxillary approach makes setting the nipple to breast fold distance quite challenging.

Daniel Barrett, MD · Answer

Dear Pioneering542462,
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

Your right side is sitting higher, so it could be lowered to match the left. You may need a different incision for this procedure.

Darryl J. Blinski, MD · Answer

Based on the nicely series of posted photos I might try right breast capsulotomy inferiorly with exchange to 50-75cc larger implant to correct asymmetry in volume and shape. Fee $5,000+ Best to virtual consult with...

Can asymmetry be caused by capsular contracture or a shallow pocket? What are my options for revision? 9 months post op (photos)

Answers (7)

Answer: Implants

Answer: Implants

Answer: Can asymmetry be caused by capsular contracture or a shallow pocket? What are my options for revision? 9 months post op

Answer: Can asymmetry be caused by capsular contracture or a shallow pocket? What are my options for revision? 9 months post op

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.

Can asymmetry be caused by capsular contracture or a shallow pocket? What are my options for revision? 9 months post op (photos)

Answers (7)

Answer: Implants

Answer: Implants

Answer: Can asymmetry be caused by capsular contracture or a shallow pocket? What are my options for revision? 9 months post op

Answer: Can asymmetry be caused by capsular contracture or a shallow pocket? What are my options for revision? 9 months post op

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.