8 weeks post op. Is my right side at risk of CC? What are the chances of it dropping on its own vs requiring a revision? (photo)

My PS told me at one month post op a revision could be required but it's too early to tell. He prescribed aggressive massage in the meantime. I have been following his orders and have a follow up in a few weeks, but am worried about my results. I am very happy with my left so far but my right side isn't moving. L: 325cc R: 350cc Pre BA: B32, but right side was slightly smaller (hence the slightly larger implant)

Doctor Answers 11

Capsular Contracture

Dear samba2,

Thank you for your clinical post and photo. It certainly does appear that the right sided implants rides too high and has not dropped into the pocket. Often this is a pocket creation issue and not early capsular contracture as there is not enough collagenous tissue to induce contracture at this early phase. However, aggressive massage is usually the right prescription and this can be combined with a breast band to keep downward forces on the upper pole of the implant.

Short of adequate descent in the inferior pole of the pocket and one will usually wait 4-6 months to assess this. You may be looking at a revision surgery where pocket expansion and facilitative inferior descent to the implant is required.

It sounds as though you have excellent care with your plastic surgeon. It was just too early to contemplate a revision. Continue aggressive breast massage, consider a breast band and hopefully you will get some inferior descent, but there is a significant probability of enhancement revision surgery with pocket expansion and inferior descent of the implant.

I hope this information is of some assistance and best of luck.

R. Stephen Mulholland, M.D.
Certified Plastic Surgeon
Yorkville, Toronto


Toronto Plastic Surgeon
4.6 out of 5 stars 82 reviews

8 weeks post op

It is not uncommon for implants to come down at different rates. You should wait to see if the treatment plan is effective. 

Regards, 

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 425 reviews

Capsular contracture is not possible eight weeks after breast augmentation.

The phenomena of capsular contracture cannot occur within the first few months after breast augmentation. Any firmness of the breast at this time is due to swelling within the tissues.The position of the right breast implant is a bit worry some but if the trend is favorable it's best to leave it alone for now.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 32 reviews

Breast augmentation - one side hasn't come down

Thank you for asking about your breast augmentation.'

  • One implant always comes down first - frustrating as it is.
  • Ask your surgeon if you can go braless - sometimes that helps.
  • Generally we wait 3 - 6 months before doing a revision -
  • Often it takes that long for an implant to settle.
Always see a Board Certified Plastic Surgeon.
Hope you find this information helpful. Best wishes.

Possible revision breast augmentation

Thank you for your question. I agree that it is still too early to determine if revision surgery is needed however, you should have more symmetry at this point. I suggest that you continue, as directed by your surgeon, to continue with the massage and follow-up at appropriate intervals with him/ her. You may likely need revision surgery and removal of the capsule with implant replacement.
Best of luck,

Mennen T. Gallas, MD
Katy Plastic Surgeon
5.0 out of 5 stars 18 reviews

8 weeks postop with asymmetry: am I at risk for capsular contracture?

It is not possible to diagnose capsular contracture without an exam to feel the breasts, but the difference between your picture at 4 days and 8  weeks postop, is characteristic of a capsular contracture, and almost certainly will require a revision and likely at least a partial capsulectomy. There is no way to ellminate the risk of capsular contracture. I would follow along with your surgeon, and after an appropriate interval of several months, be prepared for revisional surgery.

May need a revision

At one month after surgery, it's too early ,in my opinion, to say that a revision will be definitively needed. I would wait at least 3 to 4 months. If you need a release at that time, you may want to go a little bit larger on that right side to better match the left. Follow up with your plastic surgeon recommended. Good luck.

Marc J. Salzman, MD, FACS
Louisville Plastic Surgeon
4.7 out of 5 stars 44 reviews

8 weeks post op. Is my right side at risk of CC? What are the chances of it dropping on its own vs requiring a revision?

I think you should wait as well but 8 weeks after surgery there should be better symmetry than your photo shows.  Unfortunately i don't think that will resolve on its own and a surgical revision may be necessary.  Best of luck.

Ralph R. Garramone, MD
Fort Myers Plastic Surgeon
4.8 out of 5 stars 53 reviews

Breast Augmentation - Post Op Concerns

Thank you for your question. You are still early in the post-operative period. It typically takes 3 - 6 months for the swelling to subside and and implants to settle into proper position. Swelling usually accounts for 10 - 15% of the initial post-operative appearance. The implants often settle asymmetrically as in your case, but ultimately end up the same. Please discuss your concerns with your board certified plastic surgeon. Also, make sure you follow all of your plastic surgeons post-operative instructions regarding level of physical activity and use of a support bra. Hope this helps and good luck with your recovery.

Certainly wait

I have seen implants settle quit differently and eventually end up very similar.  The process takes at least 3-6 months.  If you require surgery, it is usually done as a local procedure.
Best Wishes,
Nana Mizuguchi, MD

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.