Can this be capsular contracture? Breasts are soft but muscle pain is present and implant looks distorted. (photo)

Thank you for your question regarding your implants and for including a photo. That is extremely helpful!

With capsular contracture, the implants will become hardened. From the photo you shared, it appears that you have a "double bubble".

I recommend following up with your plastic surgeon for your post op concerns.

Hope this helps!

Due to a breast capsule contracture you have developed deformity known as double bubble. Surgery would include replacement of implants and correction of capsule (capsulotomy, capsulorhaphy) or even placement of the implants in the new pocket. In person consultation with a board certified plastic surgeon with good reputation in breast surgery is recommended. Good luck.

Thank you for your question. It is hard to tell based off just one picture to say for certainty of capsular contracture. However, if your breast has become more distorted and painful, then it is likely that you have capsular contracture. Your right breast is clearly a different shape than your left, and the nipple location is higher. You would benefit from a revision of both breasts to get rid of any contour regularity as well. Good luck.

Dear Roxymoe,
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

Your implants have dropped and are bottoming out causing the extra ridge. If your breasts are soft, your capsules may be just fine. Please wear a good underwire supporting bra and discuss this with your surgeon.

I recommend you schedule a visit to your surgeon. An examination is needed to determine what may be occurring and causing the distortion. Options can be discussed based on the findings of your evaluation.

You have bilateral 'double bubble' (a demarcation between your implants and the surrounding breast tissue) and the one breast has settled lower. These two factors are leading to the asymmetry and aesthetic appearance. A revision breast augmentation (with possible lift) would certainly help.
The left breast pain would have to be evaluated at a consultation/physical exam and if a contracture, then certainly a capsulectomy. If not, you may want to try: Neurontin or Lyrica, medications used temporarily for nerve pain.
Best wishes.
Dr. Taranow