1 year post op, 285 CC Sientra breast implants. Is this a capsular contracture and should I consider a revision? (photo)

This very well might be capsular contracture. It is hard to know without seeing more than 1 photo. A series of photos over time might be more helpful to determine if this is what is truly happening. Regardless, these are all my own opinions based on the photos provided. I would recommend seeing a plastic surgeon who has great training and experience in aesthetic breast surgery.

It looks like a capsular contracture from your description and the photos, but an in-person evaluation is needed. See you surgeon. BTW massage can help implants settle but there's no evidence that it prevents capsular contracture.

It appears as your right implant is higher than your left. There is some asymmetry, as most woman have. If you are having discomfort, I would advise you to see your surgeon and have a discussion of your options at this time. A revision will involve surgery to remove the capsule and pocket revision.

It’s difficult to tell you exactly what’s going on from your photo. It is possible that this is a contracture, and if so, then surgical revision to remove the capsule would be appropriate. It would be best to let your surgeon see what’s going on and offer his/her opinion on how to correct it. Best of luck!

It appears one of your breasts has capsular contracture, but this may not be the case and appears this way because of your other breast implant; that one has descended in a infero-medial direction, and both breasts are too close to the midline (medial direction). You will need to be examined to determine the best course of action for both breasts.

Dear Cindy20611,
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

Sorry to read about your breast implant issues. It is somewhat difficult to assess what is going on with the photo you have posted. It does look like you have some breast asymmetry with one side being lower than the other. What would also be helpful would be preop photos.

The process can really vary depending on what you want to do. If you have capsular contracture then you may need removal of the scar tissue with placement of new implants. If you want the implant out completely that may be some what more simple. I would recommend you see a board certified plastic surgeon that has a great deal of experience in implant revision cases as revision cases are more difficult than the initial surgery.

Hope that helps.

You did not post your before photo which would show any asymmetry which could be present. The higher implant is really not too high, but it may be somewhat restricted on the side with a capsule. The lower implant is a bit low. I would go back to your surgeon and be examined and discuss your options.