4 years po and breasts appear squared, could this be capsular contracture and is implant removal with lift an option? (photos)

Question

Hi I had breast augmentation 4 years ago and now they appear to be squarish looking especially the right one (the orange one). I was wondering if anyone can shed some light from photos alone. I think I would have them fully removed and an uplift if that’s the case but is that possible or have they been stretched out? (I was originally a 32b) Thankyou

Semih Yildiz, MD, FEPOBRAS · Answer

The photos show implants with a somewhat boxy lower-pole contour and mild asymmetry, but photos alone cannot diagnose capsular contracture. Capsular contracture is usually judged by firmness, pain or tightness, distortion, implant position, and how the breast feels on exam. A breast can look square from implant position, pocket shape, scar capsule, skin/tissue stretching, or implant size relative to your tissue, not only from contracture.

If you want them removed, implant removal with a lift is often possible, especially if you prefer a smaller, more natural breast. The final size and shape depend on how much breast tissue you have after the implants come out, skin quality, nipple position, and whether the capsule needs to be removed or adjusted. Some patients can have explant with mastopexy in one stage; others benefit from staged surgery or fat grafting later. An in-person consultation with a board-certified plastic surgeon, ideally with your operative details and implant information, would let you know whether explant-lift alone can give the contour you want or whether pocket/capsule work is needed.

Brian K. Reedy, MD · Answer

Thanks for your question! I think that your implants seem widely spaced because of your natural anatomy (and perhaps a little bit implant selection). An explant is an option for you; although, I don't think you will need a lift at this point. I would suggest an in-person consultation for an evaluation. Good luck!

Connie Hiers, MD, FACS · Answer

I don't see anything that is square, but one is somewhat larger than the other, and both have some sagging. You might consider going down in size and doing a lift. However, the lift will interfere with your tattoos. You could consider just having your lateral pockets tightened and see if you prefer that look.

Darryl J. Blinski, MD · Answer

Based on the posted, photos explantation with potential capsule removal, liposuction areas of body for fat wrapping depress under ultrasound with full breast lip is a good option. Fee $10,000-$20,000. Best virtual consult with.

Camille Cash, MD · Answer

Evidence of capsular contracture is not really noted in your photos.  Some signs of capsular contracture are the breast feeling hard, changing shape, or potentially pain.  I encourage you to return to your surgeon for an evaluation.  With early stages of capsular contracture medication is sometimes an option for improvement.  I've included a video that I hope you find helpful.

4 years po and breasts appear squared, could this be capsular contracture and is implant removal with lift an option? (photos)

Answers (5)

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