6 months post op saline implants (500cc round). Fell asleep and one of my breasts is settled higher? What do I do?
Doctor Answers 2
A bra at 6 months is unlikely to have caused your implant to be higher on one side. Perhaps you developed a capsular contracture?
One of my breasts is settled higher
Although nothing is impossible, it is very unlikely that this happened over night. Also, since you did not upload photos, I can only try to help based on what information you have given. If one implant is riding high and a bit sore and doesn't seem to drop back down these could be indications of capsular contracture. The hallmark of contracture is one breast becoming firm and moving up towards your collarbone causing the nipple to rotate downward and can even be painful. Capsular Contracture is not well understood, and a single cause has not been identified. Leading theories include: subclinical venous bleed, low level bacterial contamination and/or biofilm, lint contamination from sterile drapes and genetic predisposition. Since the cause is unknown, treatment typically involves addressing all possible causes. There are four grades of contracture. Grade I is normal, looks good and feels soft and does not require treatment. Grade II feels firm but otherwise looks good. Grade III feels firm and looks distorted at rest. Grade IV feels firm, looks distorted at rest and is painful. Aggressive massage +/- Leukotriene Inhibitors can improve/soften Grade II contracture but in Dr. Feldman’s experience rarely improve the superior malposition present in Grade III and Grade IV contracture. These respond best to surgical revision/capsulectomy and implant exchange. You should return to your operating surgeon to be seen in person for a proper diagnosis. Best of Luck.
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