I've noticed my implants both (300) Ccs silicone under the muscle haven't fully dropped.

It's been almost three years. I workout more now, and the muscles are getting more defined I think. Is it possible to help move this process along with massage or do I need another surgery and it's too late. Thanks in advance.

Doctor Answers 2

I've noticed my implants both (300) Ccs silicone under the muscle haven't fully dropped.

Without photos it is hard to advise you on what's going on. With your short description it could be capsular contracture. The hallmark of contracture is one breast becoming firm and moving up towards your collarbone causing the nipple to rotate downward and can even be painful. Capsular Contracture is not well understood, and a single cause has not been identified. Leading theories include: subclinical venous bleed, low level bacterial contamination and/or biofilm, lint contamination from sterile drapes and genetic predisposition. Since the cause is unknown, treatment typically involves addressing all possible causes. There are four grades of contracture. Grade I is normal, looks good and feels soft and does not require treatment. Grade II feels firm but otherwise looks good. Grade III feels firm and looks distorted at rest. Grade IV feels firm, looks distorted at rest and is painful. Aggressive massage +/- Leukotriene Inhibitors can improve/soften Grade II contracture but in my experience rarely improve the superior malposition present in Grade III and Grade IV contracture. These respond best to surgical revision/capsulectomy and implant exchange. Best to return to your operating surgeon to assess what's going on in person. Best of Luck.

Not dropped

Since it has been three years since surgery, you will probably need surgery to lower the implants. I would suggest discussing all your concerns with your surgeon.

Connie Hiers, MD
San Antonio Plastic Surgeon
4.6 out of 5 stars 13 reviews

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