This patient has firm scar tissue, a process called capsular contracture, which results in firm, elevated narrowed, implants. Capsular contracture is often asymmetric and sometimes painful. Typically, near complete removal of the scar tissue and replacement of the implants is needed.
This implant and the breast tissue were not positioned together. Capsule adjustment and lifting helped bring better symmetry. Many patients with long standing asymmetry need implant removal with recovery of tissue prior to revision.
This patient was dissatisfied with the positioning of her implants from a prior surgery. Lateral movement of the implants and asymmetry are common reasons patients will seek out my practice. Revision surgery represents a large portion of my practice and a specific reason for women to seek a female plastic surgeon. In this case, capsule tissue was used to secure the position of the implants from the sides and the bottom. Nipple reduction and exchange of implants for a larger size were also performed.