Something is very wrong with my right breast. Would I benefit from a revision? (Photo)

Question

I had my breast augmentation 1 year ago today. i have subfascial 350cc in the left and 325cc in the right. my right i believe has CC as it is very hard and significantly smaller and higher than the left. My doctor advised it was my asymmetry but this is very extreme. i am having to tape the left boob up in almost anything i wear to hide the lopsidedness of my boobs. Getting this surgery was for confidence but i’m not happy.l love the left but the right something is very wrong. looking for suggestion

Randal Haworth, MD, FACS · Answer

If you are experiencing significant asymmetry and suspect that you may have capsular contracture (CC) in your right breast, it is important to follow up with your plastic surgeon for a thorough evaluation. Capsular contracture is a complication that can occur after breast augmentation surgery and is characterized by the hardening and tightening of the scar tissue capsule around the implant (it looks like it’s the case here).

Your surgeon may recommend imaging tests, such as an MRI or ultrasound, to confirm the presence of capsular contracture or any other issues that may be causing your breast asymmetry. If capsular contracture is confirmed, your surgeon may recommend revision surgery to remove the scar tissue and possibly replace the implant.

It is important to communicate your concerns and goals with your surgeon and work together to develop a treatment plan that addresses your individual needs and concerns.

I hope this helps,
best of luck !

Daniel Barrett, MD · Answer

Dear breastaug8484,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

In your pre-op photo, you can see your breasts were asymmetrical in volume, shape and position and the nipples were pointing outward. At that time, you should have undergone a lift at the time of implantation. At this time, I recommend explantation and lift using a mini lift. Using a circumareola incision, the implants are removed, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or smaller implants can be placed.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

You appear to have a capsule. I would suggest going back to your surgeon and discussing this. You could try external ultrasound treatments and oral Accolate, or surgery to open and release the capsule with implant exchange.

Camille Cash, MD · Answer

From your photos it appears you had asymmetry before surgery and still have that asymmetry now.  There are volume differences prior and one breast is lower. If you have capsular contracture you can schedule an evaluation with your surgeon.  The recommended treatment varies based on the degree of the issue.

Kenneth R. Francis, MD, FACS · Answer

Dear breastaug,
Thank you for providing a pre breast augmentation photo with your question.  It does show significant pre-existent asymmetry.  Sometimes pre-existent asymmetries can be magnified by breast augmentation simply because everything is now bigger.  The one parameter that we cannot assess with 2D photos is breast volume differences.  So, there are three possible factors that may all be contributing to your postoperative asymmetry; capsular contracture, volume asymmetry (the right looks smaller and may benefit from the same size implant as the left), and pre-existent asymmetry.  Capsular contracture can be addressed with capsule release and possibly moving the fold lower.   Volume asymmetry (if real) can be addressed with a larger breast implant.  Talk to your plastic surgeon and have them examine you for breast volume and capsular contracture.  Good luck!

Something is very wrong with my right breast. Would I benefit from a revision? (Photo)

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