before implants and uplift 8 weeks after

A Complex Case of Augmentation Mastopexy: From Boxy to Beautiful

May 2, 2025

This case study highlights a complex augmentation mastopexy performed on a patient suffering from capsular contracture. Through a combination of implant removal, total capsulectomy, reaugmentation, and mastopexy, the surgical team achieved a beautifully contoured, feminine result tailored to the patient’s realistic expectations. The transformation underscores the importance of surgical expertise and aesthetic precision in revisional breast surgery.

Breast surgery is never a one-size-fits-all procedure. Some cases demand not only technical expertise but also a refined aesthetic eye. One of our recent patients in Manchester exemplifies this perfectly — a petite woman who had lived with breast implants for several years, but began to notice troubling changes.

Patient Concerns

She came to us after observing that her implants were becoming hard, her breasts were losing their natural shape, and her nipples had moved further apart. The overall appearance had shifted toward a “boxy” and even masculine look — far from the soft, feminine contour she once had.

The Underlying Cause: Capsular Contracture

Upon examination, it was clear that she was suffering from capsular contracture — a condition where the body forms a tight, fibrous capsule around the implant, leading to distortion, firmness, and discomfort. This was the main culprit behind the aesthetic changes.

A Realistic Goal

What made this case particularly smooth was the patient’s realistic expectations. She wasn’t looking for dramatic changes — just a more youthful, rounded, feminine breast shape, while maintaining a similar size.

Our Surgical Approach

After a thorough breast analysis, we recommended a comprehensive treatment plan involving:

  • Removal of the existing implants
  • Total capsulectomy (removal of the tight capsule)
  • Reaugmentation with new implants
  • Mastopexy (breast lift) to restore nipple position and shape

This combined procedure, known as augmentation mastopexy, is complex and requires a highly tailored approach — especially in cases complicated by contracture.

The Result

Using our signature techniques designed for long-lasting, symmetrical results, the transformation was striking. Her new breasts are:

  • Bountiful in volume
  • Beautifully contoured with a soft, feminine shape
  • Well-positioned nipples and a natural-looking cleavage

All performed safely and skillfully right here in Manchester.

Follow Us & Book Your Consultation

Want to see more real patient transformations?
📸 Follow us on Instagram: @allskinsurgery

Ready to take the next step?
📅 Book your consultation online: Click here to schedule

At All Skin Surgery, we combine expertise with artistry to help you feel your best.

FAQs

What is augmentation mastopexy?
Augmentation mastopexy is a surgical procedure that combines breast implant placement with a breast lift to enhance both the size and shape of the breasts.
What causes capsular contracture?
Capsular contracture occurs when the scar tissue that naturally forms around a breast implant tightens and hardens, leading to distortion and discomfort.
Is it possible to keep the same breast size after surgery?
Yes, in many cases like this one, patients choose to maintain a similar size while improving shape and contour.
How long is the recovery for this type of surgery?
Recovery varies, but most patients return to normal activities within a few weeks, with full results appearing over several months.
Where is this procedure performed?
The procedure is performed safely and professionally at our clinic in Manchester.

Confidence, Comfort, and Cleavage: Life After Tuberous Breast Correction with Augmentation Mastopexy

Learn more on this topic

Related Insights