Capsulectomy and mini lift on A cup caused breast folds - Could my lift be too tight? (photos)

Question

I had a en bloc capsulectomy (implant removal) with mini lift. Implants were under the muscle and placed through my armpits, saline. I’m very disappointed with the folds that you can see in the picture. My surgeon hopes that cupping will resolve the folds and that the lower tissue will fill. Is it possible the lift is “too tight” causing those folds? Is there a “release” that could be done? The folds are so deep, I am skeptical that cupping can help. Fat transfer is not an option. Thanks,

Richard G. Schwartz, MD · Answer

It is always difficult to reshape the remaining breast tissue and skin following implant removal and capsulectomy.  If massage and maturation of scar tissue doesn't help,  then I think a repeat breast lift with rearrangement of your remaining tissue and possibly removal of any loose skin  would  help.  I don't think that the area is necessarily too tight and needs a release, unless your surgeon placed specific sutures along where the depressed grooves are located.

Daniel Barrett, MD · Answer

Dear AlannaG,
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 recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Alan Gonzalez, MD, FACS · Answer

Hello @agaysek, thank you for your question. It is possible for capsulectomy and mini lift procedures to result in breast folds or other changes in the appearance of the breasts. However, the likelihood and severity of these changes will depend on a number of factors, including the specific techniques used during the procedures and the individual characteristics of the patient's breasts and skin. It is important that you have a consultation with a board certified specialist to determine a surgical plan according to your needs. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).

Camille Cash, MD · Answer

Your photo indicates you are early in your recovery.  Shape may fluctuate as the tissues heal and swelling resolves.  I encourage you to follow your surgeon's advice as well as keep all follow up appointments so any concerns can be discussed.

Connie Hiers, MD, FACS · Answer

First, "en bloc" removal is for cancer surgery and you did not have this done. Second, you are very early in your healing phase and need to give yourself time to heal. Tissues will relax and may settle down to be perfect. Please be patient.

Capsulectomy and mini lift on A cup caused breast folds - Could my lift be too tight? (photos)

Answers (5)

Answer: Breast contours

Answer: Breast contours

Answer: Surgery

Answer: Surgery

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Everything you need to know about En Bloc Capsulectomy

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Capsulectomy and mini lift on A cup caused breast folds - Could my lift be too tight? (photos)

Answers (5)

Answer: Breast contours

Answer: Breast contours

Answer: Surgery

Answer: Surgery

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Recommended reading

Everything you need to know about En Bloc Capsulectomy

Our mission is to create a world where every investment in modern beauty is Worth It.