Why do I have waterfall deformity again after capsulectomy, replacement implants and lift? (Photo)

Hi. It appears that you have a capsule contractor. This appears to be the initial problem as well at least in some part. It seems to be a recurrence. Identify whether there is a change in firmness.

Recurrent capsule contractions are very difficult to correct, but can be done with the use of, a cellular dermal matrix.

I suggest you follow up with your plastic surgeon. It looks like you’re developing a recurrent capsular contraction.
There are a few reasons patients may develop capsular contractions. Some patients will develop recurrent capsular contractions. When that’s the case, there may be a bacterial contamination with an organism called staphylococcus epidermidis. This bacteria is very slow, growing, cannot be treated and is very difficult to isolate or test for. The diagnosis is usually a diagnosis of exclusion.
It is most likely the most common reason patients have recurrent capsular contractions. Because it can’t be tested, for there is no treatment other than capsulectomy, confirming sub muscular implant placement.
You may or may not be having a recurrent capsular contraction.
Before making any assessments, you need to be evaluated because it’s difficult to confirm if you have a capsular contraction by pictures alone.
I suggest you follow up with your plastic surgeon or schedule in person second opinion consultations.
Best,
Mats Hagstrom, MD