The foreign body was identified as a contributing factor to the patient's prolonged neck and shoulder pain following the original procedure.
The patient, identified as Ngan (name changed), sought treatment after experiencing breast deformity and chronic pain in her left shoulder.
According to her medical history, she underwent breast augmentation in 2022 through a periareolar incision. Over time, the right implant showed signs of displacement, while the left breast became firm and visibly deformed due to Grade IV capsular contracture, the most severe form of fibrous capsule tightening around an implant.
Surgical gauze was found in the left axillary region. Photo courtesy of Dr. Cao Vu
Following examination, Dr. Vu diagnosed severe capsular contracture and recommended implant removal, total capsulectomy, and reconstruction of both implant pockets, with plans for possible secondary augmentation after recovery.
