Can a Torn Pocket Under my Breast Implant Be Repaired... My Surgeon Says No.. Really?

Capsule repair (capsulorrhaphy) can certainly be performed, though the thickness and tensile strength of your capsule may be quite limited. As surgeons, we strive to obtain a thin, soft, pliable capsule so you end up with a soft, natural feeling breast. When capsule surgery is necessary (symmastia, implant malposition, or in cases such as yours), then having enough scar for the sutures to "hold" becomes an issue. Still, wearing a bra during the healing process easily helps healing in this (lateral) location, so I would ask your surgeon again, or "read between the lines" and understand that he or she does not want to help you with this issue, perhaps out of concern that "perfect" repair may not be feasible.

Seek other advice from an ABPS-certified plastic surgeon if necessary. Good luck and best wishes!

Not sure why your surgeon gave you the impression that implant displacement cannot be corrected or improved.  Be sure your implant is not ruptured.  If it is, replacement is definitely indicated, and pocket can be fixed at that time.  Capsulorrhaphy, capsulotomy, and use of acellular dermal matrix are all popular techniques for restoration and improvement of post surgical abnormalities in implant positioning.

Sorry for your injury.  I usually start with postoperative breast straps or garments to help the capsule in the pocket heal itself much the same way a cast on your arm helps the broken bones heal without surgery.  This could take 4-6 wks.  if that does not help, then a surgical procedure called capsulorrhaphy can be performed.  If it is a very complicated repair, artificial dermal matrix like Strattice can be used.  Best of luck.

Hello Lajpon,

I do not have the benefit of examining you or viewing photographs of you, but in general, implant pocket issues can be corrected routinely and accurately to restore the position of the implant and shape of the breast. These techniques should be performed by surgeons that are highly experienced in performing revision breast augmentation.  These surgeons are certified by the American Board of Plastic Surgery, and are also members of the American Society for Aesthetic Plastic Surgery.

Best of luck!

The pocket can be sutured , a new pocket can be made ( neo sub pectoral ) , adm such as alloderm or stratice can be used to correct implant malposition.   I would need to see your photos and or examine you to know what the best approach would be.   Good Luck.   Dr Grant Stevens