Would I sag too much for an explant due to capsular contractor from a breast lift with implant? Tuberous breasts (Photo)

Hello, thank you for your question. It sounds like you are navigating a challenging situation with your recent surgery. Please view the attached video that discusses your concerns and answers your specific question in detail. Ultimately, the best course of action will depend on your specific situation and how you feel about each option. Make sure to communicate your concerns and preferences with your surgeon during your follow-up. You deserve a solution that makes you feel comfortable and happy with your results.

Hello @Vivid815284, thank you for your question. You could have an explant with total capsulectomy and given that you have good breast tissue I suggest my BRALAN technique in which the prosthesis is removed and immediately a reconstruction and breast lift is performed to rearrange the breast tissue, reposition the areolas and nipples. The shape of the breast is improved by reorganizing the breast parenchyma and correcting tuberous breasts. To shed more light, I share a video. If you are considering breast explantation, consultation with a plastic surgeon experienced in this procedure is essential to ensure optimal results. Best regards.

Alan Gonzalez MD, FACS. Member of the International Federation for Adipose Therapeutics and Science (IFATS), Member of the American Society of Plastic Surgery (ASPS), Member of the Colombian Society of Plastic Surgery (SCCP).

Dear Vivid815284,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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

The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevate them 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.

You have a very nice result.

If you do remove both of the implants you would have less volume than you had to begin with but a slightly better shape than you did before surgery as your nipples and areolar would be in a better position but your breasts would still be very empty. I wouldn't want to assume I know what you want but I do think that keeping your implants is a better option.

I would ask your surgeon about possibly wrapping the new implant on the affected side in strattice when performing the implant exchange as this will decrease your chances of developing another capsular contracture in your breast to almost zero. The problem without using strattice is we know patients who develop a very rapid capsular contracture (in the first 6 months after surgery) will have a very high likelihood of developing another capsular contracture if you just remove the implant along with the capsule and place a new implant. I would speak to your surgeon about this possibility. I have used Strattice many, many times and it works very well and is safe to use with low complications. I haven't been to Winnipeg for a very long time but was born there!

If you are happy with the left, just exchange the right. Without implants you may lose some of the stretched-out wideness you have gained from implants.

As your surgery was recent the pain may not be related to capsular contracture, but your surgeon will help diagnose or rule this out at your appointment. If it is early capsular contracture it may be able to be treated with medication. If the contracture is more severe you can consider exchanging just the one implant. I've included a video I hope you find helpful.

You should not have your implants removed, but possibly exchanged.
Removing your implants will severely limit options for re-augmentation later.
I suggest you discuss with your provider.
If you’re not getting the care, you need then get a second opinion consultation.Take a look at your pre-op picture to get an idea of what your breast looks like without implants.
Best,
Mats Hagstrom MD