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

Question

I had C-D cup tuberous breasts prior to surgery, I got a breast lift and implant 2.5 months ago with 210cc in each side. My right bigger breast is painful with muscle tension and very hard on the sides, while the left has no pain. Doctor said it could be capsular contraction but not for sure, as I see her in a month. I'm wondering what options I have, I'm open to taking both out, but don't want too much sag, should I just exchange the right? Any ideas/options?

Karl William Schwarz, MD · Answer

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!

Shaher W. Khan, MD · Answer

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.

Alan Gonzalez, MD, FACS · Answer

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).

Daniel Barrett, MD · Answer

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

Camille Cash, MD · Answer

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.

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

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Answer: BA results

Answer: BA results

Answer: Breast pain

Answer: Breast pain

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Everything you need to know about Breast Implant Removal

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

Answers (8)

Answer: BA results

Answer: BA results

Answer: Breast pain

Answer: Breast pain

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Removal

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