Did my surgeon put my implant in far enough? Is it ok to have one breast over and the other under the muscle? (photo)
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Doctor Answers 6
Capsular Contracture Concern
Capsular contracture does not occur because of an implant being placed incorrectly. Placing one over and one under the muscle wouldn't be advised either. I recommend that you complete the course of Singular as advised by your Plastic Surgeon then follow up for further advice in person as they know your situation and history the best.
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Thank you for your question.I would follow your surgeon’s instructions and complete the 3 months of your prescription. After you have finished your script of Singular, I would have your surgeon re-assess your capsular contracture and decide then if a revision is necessary. I definitely wouldn’t recommend placing one implant under the muscle and one over. Your surgeon may want to perform a complete capsulectomy to create a new pocket and allow better shape of the breast. You may also want to consider breast massage and taking Vitamin E supplements to prevent another capsular contracture. I hope this helps.
Best of luck in your recovery!
James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science
Assymetry of breasts
From the photo it is hard to tell, but your right implant looks higher. Capsular contracture can slowly tighten an implant pocket and make the breasts asymmetric. It usually takes some time to occur. If you did get another operation, placing just one implant under the muscle and leaving one above might be a setup for future asymmetry.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.