5'2, 130 lbs, downsize from 485cc - can the stitching & CC pocket be repaired? (Photos)

Question

I’ve had numerous breast procedures due to capsular contracture. I have it again in my right breast (normal looking one). The deformed one is soft but sewed up weird so it looks unnatural. I have 485 moderate round under muscle. I want smaller but little/no upper pole so they look natural braless. I’m 5’2 130 pounds I was thinking low-plus profile in 350-400 Can the stitching and CC/pocket be repaired so I have attractive breasts again? Can it be done without an anchor lift again?

Wayne I. Yamahata, MD · Answer

You are asking for a challenging list of procedures, i.e. a capsulectomy on the right side, a capsulorrahphy on the left side, and a secondary bilateral mastopexy. Not all surgeons feel it would be safe to do these in the same setting. You may want to seek a few formal consultations with board certified plastic surgeons for a thorough education regarding the risks, anticipated outcomes and your options.

Daniel Barrett, MD · Answer

Dear Canx5,
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

Sean T. Lille, MD · Answer

Dear Canx5,  It's hard to tell from the pictures but it almost looks like that right breast implant is high. ? Cap con again? In the patients I see that have recurrent capsular contracture, I use an internal mesh called Strattice. I have had tremendous success with it. Downsizing would give you less upper pole fulness but possibly more droop. A lift discussion would be in order during an in-person consultation with your doctor. Regarding the contour deformity in the left breast, the more surgeries you have, the more contour deformity you could get. Best wishes to you.

Gary M. Horndeski, MD · Answer

If you are having repeat capsular contractures then I recommend explantation with lift using The Bellesoma Method. The implants are removed, your 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 (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Gerald Minniti, MD, FACS · Answer

I don't know why you are prone to recurrent CC, but if your doctor is using a periareolar incision to perform the repairs, then that's the reason. And by the way, if that's the case, then he is performing a data proven inferior technique; the inframammary incision is the proper access route for primary and revision breast surgery.  Your breasts will always look 'weird', as you say, as long as you don't get a lift. Frankly, done by an breast surgery expert, your breasts will be substantially more attractive with a lift then their current state. Get over the scarring issue; it will be virtually inconspicuous with post surgical retention tape and good healing.

Connie Hiers, MD, FACS · Answer

Since you are going smaller, you may need a lift to address the extra skin. The pocket will still need to be tightened probably, but that will not address excess skin.

5'2, 130 lbs, downsize from 485cc - can the stitching & CC pocket be repaired? (Photos)

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