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9 months post op breasts became different - is this capsular contracture? (Photos)

Cute156104Nov 6, 2022
hi i had my breast augmentation 1 year ago under the muscle 309cc under the muscle. everything was looking great until month 9 where all of a sudden my breast are different. 1 is suddenly higher and firmer then the other. i was wondering if maybe only 1 had dropped or is this a capscular contracture?

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Dr. Derek Fletcher, MD
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Daniel Barrett, MD

Dear SS1234, I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper...

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Derek Fletcher, MD

It sounds like you may have experienced a tear in the capsule around the implant or a tear of the pectoralis major muscle. Either can cause bleeding (hematoma) which would explain the initial swelling. Typically, bruising follows. But, sometimes the capsule contains the hematoma and no bruising...

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Daniel Barrett, MD

Dear Jenna949, capsular contracture happens. In fact, every implant has a capsule form around it, its just a certain percentage develop thick capsules. There is a lot we don't know about it actually. Some think that bacteria that gets on the implant during insertion can increase the risk. Thats...

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Daniel Barrett, MD

Dear Elsa9431, I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper...

+2 answers
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Jason Pozner, MD

My regimen for capsular contracture which I have posted on RS before is: Complete capsulectomy, wash pocket with both hypochlorous acid and triple antibiotic betadine solution, strattice, drain and a new implant. I then send the capsules for PCR and if bacteria present (about 50%) we prescribe...

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Derek Fletcher, MD

More details about the kind of implant-based breast reconstruction are necessary to give accurate advice. AlloDerm has strong evidence in the peer reviewed literature supporting its efficacy for management of cap con. Galaflex does not.

+4 answers
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