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Likelihood of repeat capsular contraction following breast implant?

Posted by wews @wews, Feb 2 11:00am

I had LIC in my right breast and bilateral mastectomy in February 2025. Implant surgery was in May. In September I had a capsular contraction and a seroma under the right implant. It was surgically removed and a new one was inserted. There was no infection. Now my breasts are not the same and I will have to have more surgery if I want them to be the same. The plastic surgeon couldn’t do fat grafting when he redid it. Has anyone experienced this happening and is it likely to happen again? The skin on my right breast remains red and sensitive where the scar tissue was removed underneath. I am told that is normal after having three surgeries so close together. Any insight is appreciated. I don’t know if I should just consider having them removed and go flat instead of making them more symmetrical and the same size. The left fell naturally. The right one remains higher and slightly smaller. Thanks.

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cevans6101 | @cevans6101 | Feb 6 10:56am

hi, most women that I have spoken to that had bilateral reconstruction, myself as well experience the cancer side, not as receptive to fat grafting, also with her without fat grafting, cancer side has appeared to look smaller and is not as cooperative as the non-cancer side in the reconstruction experience, most women I’ve spoken to, myself included they’re left and right implant are not the same, no woman’s natural breast are the same either… at some point myself as well need to come to terms with implants will not be completely symmetrical. With this being said I do not know how unsymmetrical theBC survivors who posted who has concerns concerning her reconstruction. Again, speaking to other women concerning reconstruction issues have had to settle with some disappointment, concerning myself actually quite a bit of disappointment, I had reoccurrence after I had my reconstruction , radiation destroyed my reconstruction. my experiences I cannot get back what I had even with the original reconstruction before reoccurrence/radiation. So my belief is there is going to need to be some tolerance of imperfection as we have lost our natural breast. speaking from my own heart this journey has been very difficult with the multiple surgeries. I personally have chosen not to go flat as I believe this would be more devastating to me than having a left and right implant with imperfection and unevenness. Hopefully this is somewhat helpful. These journeys are very very personal and I wish you well as I wish myself well! Blessings to all the BC survivors.

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wews | @wews | Feb 6 11:31am
In reply to @cevans6101 "hi, most women that I have spoken to that had bilateral reconstruction, myself as well experience..." + (show)
Profile picture for cevans6101 @cevans6101

hi, most women that I have spoken to that had bilateral reconstruction, myself as well experience the cancer side, not as receptive to fat grafting, also with her without fat grafting, cancer side has appeared to look smaller and is not as cooperative as the non-cancer side in the reconstruction experience, most women I’ve spoken to, myself included they’re left and right implant are not the same, no woman’s natural breast are the same either… at some point myself as well need to come to terms with implants will not be completely symmetrical. With this being said I do not know how unsymmetrical theBC survivors who posted who has concerns concerning her reconstruction. Again, speaking to other women concerning reconstruction issues have had to settle with some disappointment, concerning myself actually quite a bit of disappointment, I had reoccurrence after I had my reconstruction , radiation destroyed my reconstruction. my experiences I cannot get back what I had even with the original reconstruction before reoccurrence/radiation. So my belief is there is going to need to be some tolerance of imperfection as we have lost our natural breast. speaking from my own heart this journey has been very difficult with the multiple surgeries. I personally have chosen not to go flat as I believe this would be more devastating to me than having a left and right implant with imperfection and unevenness. Hopefully this is somewhat helpful. These journeys are very very personal and I wish you well as I wish myself well! Blessings to all the BC survivors.

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@cevans6101 I have to work through the symmetry issue but I am most concerned about have capsular contraction happen again. It sounds like you have reached a good place. I do wonder whether more surgery to the left breast that was the original implant would just create more problems and I should leave well enough alone. I am trying to be patient and wait to see if the right breast that was redone in September will fall anymore. Right now one is higher than the other and it is a challenge for me to like how it looks! thanks so much for sharing this with me.

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