Possible capsular contracture. Right breast hurts and is harder. (Photo)

Question

Hello, I’m 3 months post op for breast augmentation. I had mine placed under the muscle. My right breast has always been higher and more firm. My left breast has dropped and feels softer. I had no issues with my right breast until recently. Last week I woke up to pain in my right breast. I thought maybe it was because I fell asleep on the couch. The pain hasn’t gone away and sometimes hurts more when I get out of bed or lift up my arms. It also feels harder. Is this the beginning of what cc feel

Gerald Minniti, MD, FACS · Answer

Unfortunately, you'll need a total capsulectomy, replacement of the implant with a new device, and the use of mesh or biologic material for implant support. A drain needs to be used and the operation should be performed via an inframammary incision, regardless your current incision's placement.

Karl William Schwarz, MD · Answer

With your story and with your photos it would appear to be a capsular contracture. Obviously you should see your surgeon in order to get an examination of your breast. Since you likely have developed a capsular contracture very rapidly after surgery I would speak to your surgeon about using ADM to wrap the implant which will significantly decrease your chances of developing a recurrent capsular contracture.

Kenneth R. Francis, MD, FACS · Answer

Dear Nicole,
The best thing for you to do is get in to see your surgeon.  He/she is the best surgeon to evaluate what is happening with your breasts.  They have seen you before, during and after surgery and are the only one with the full story.  Good luck!

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