Can you go from sub glandular for 8 yrs to sub muscular then back to sub glandular 11 months later?

Question

I had my first breast augmentation (subglandular) in 2015 and developed capsular contracture. In January 2024, I had a revision with 565cc implants under the muscle, which revealed both implants had ruptured, and capsular contracture was present. I faced complications like infections, scarring, and lateral displacement issues. Now my surgeon suggests returning to subglandular with 650cc implants. Has anyone gone from subglandular to submuscular and back? Is this really a good idea to pursue?

Gary M. Horndeski, MD · Answer

Yes, it is possible to change from sub glandular to sub muscular back to sub glandular.  However, you have not provided photographs or told us your bra size.  650 cc implants are quite large and heavy.  In the sub glandular position, the only thing holding the implants up is the skin envelope.  Your breasts will descend inferiorly and laterally and you will have complications from that.  I think your body is trying to tell you that what you are doing is not working as you are on your 3rd set of implants.  You may be better off with a breast lift and fat transfers.  I need more information to give you a more accurate answer.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

Yes, with capsules, pockets can be changed. However, it may be best to remove the capsule and support the area with mesh. Going larger is risking another capsule. it is always best to go smaller when a capsule forms. Plus, your tissue may not support such large and heavy implants. Please do not go larger for you may have another surgery for another capsule.

Mats Hagstrom, MD (license on probation) · Answer

The chance of you having a successful breast augmentation after what you’ve undergone is not good.
With each previous operation and each complication, your chance of having a stable long-term quality outcome goes down. I’m not saying you can’t attempt to have the procedure, but I think the chance of you having further complications, including contractions and need for revision surgery is probably, more likely than not a new anytime excessively large implants are used side effects, complications and need for revision surgery will always go up.
The phrase never say never and never say always comes up frequently in medical discussions straight.
It’s not wrong to attempt this approach, but recognize that the odds are stacked against you.
The odds are also stacked against you if you select excessively large implants.
 I suggest you lie exclusively on in person consultations.
If you want a second opinion consultation at the schedule that as in person consultations.
For second opinion consultations come prepared to bring with you as much of your medical records of previous procedures as possible guide
Ideally, this should include before and after pictures for each of your previous surgeries and copies of your previous operative reports.
They should be available from your previous providers Upon request
Best,
Matt hagstrom MD

Can you go from sub glandular for 8 yrs to sub muscular then back to sub glandular 11 months later?

Answers (3)

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Can you go from sub glandular for 8 yrs to sub muscular then back to sub glandular 11 months later?

Answers (3)

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Recommended reading

Everything you need to know about Breast Implant Revision

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