How can you tell the difference between capsule contracture and an under-dissected pocket?

Question

8 months ago i had revision breast augmentation under the muscle using galaflex. several years ago i had my breast implants removed due to grade iv cc bilaterally. Now this time, the implants are high and firm and have been since day 1. They have not dropped at all so it looks similar to how it looked when there was cap con. To me, it seems that either the galaflex is holding up the implants and/or the pocket was underdissected, trapping them both exactly where they were placed. Any advice?

Daniel Barrett, MD · Answer

Dear leilacake,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

The pockets could be tight for being under-dissected, or from another capsule. Usually it is from a capsule since surgeons know what size pockets to make.  Sometimes, the implants are just too big for the space.  Please discuss this with your surgeon.

How can you tell the difference between capsule contracture and an under-dissected pocket?

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