San Diego Breast Implant Removal doctors

	Tom J. Pousti, MD San Diego Plastic Surgeon 8851 Center Drive Suite 300, San Diego		208 answers
	Gary H. Manchester, MD San Diego Plastic Surgeon 3720 Fourth Avenue, San Diego		14 answers
	Jason R. Hess, MD San Diego Plastic Surgeon 4060 4th ave Suite 120, San Diego		6 answers
	Marialyn Sardo, MD La Jolla Plastic Surgeon 9850 Genesee Ave. Suite 410, La Jolla		3 answers
	Vincent P. Marin, MD San Diego Plastic Surgeon 1431 Camino Del Mar, Del Mar		2 answers
	Lori H. Saltz, MD San Diego Plastic Surgeon La Jolla Cosmetic Surgery Centre 9850 Genesee Ave, Suite 130 Ximed Building		2 answers

Recent Answers

My PIP Implants are Sagging 7 Years Post Op, What Can Be Done To Make Them Perkier After Removal? I've had my implants in for almost 7 years. I am 26 and never had children yet they have sagged alot and have dropped at least a few inches down my chest. I have gained maybe 5/10 pounds but surely that wouldn't make such a difference? Is this normal? Can I do anything about it without having an uplift? They are PIP implants so am having them out anyway, im just wondering if they are replaced will they still be so saggy and is there any chance of them perking up if they are removed? Thanks

A: Breast Appearance after Breast Implant Removal?

Thank you for the question.

Based on the description that you provide: " breasts have sagged a lot”, it is possible the breast lifting will be necessary after removal of the breast implants. However, precise advice cannot be given without direct examination.

Generally speaking what breasts look like after explantation depends on several factors such as: the quality of skin elasticity (the better the elasticity the better the skin will bounce back), the size of the implants used (the larger the implant the more trouble you may have with redundant skin), and the amount of breast tissue present at this time (which may have changed since the time of your breast augmentation).

Life experience since your breast augmentation procedure, such as pregnancy or weight gain weight loss, will potentially influence the factors discussed above. If you take these factors into consideration and apply them to your specific circumstances you may get a good idea of what to expect after the implants are removed.

Consulting with a well experienced board-certified plastic surgeon in person will be helpful.

I hope this helps.

Tom J. Pousti, MD

San Diego Plastic Surgeon

Does Removing the Under the Muscle Deflated Saline Implant Decrease Breast Volume? My saline implant deflated seven days ago. The breast looks pretty good in terms of size. Will I look significantly flatter when the empty shell is removed? Is the deflated shell adding much mass? Thank you for any info!

A: Breast Implant Deflation and Breast Volume?

Thank you for the question.

Assuming that your breast implant has COMPLETELY deflated, than what you see when you look at your breast is probably very close to what you will see after the breast implant is removed. In other words, if the breast implant has completely deflated the “deflated shell” is not adding much mass.

Unfortunately, often there is no way to know for sure (besides using ultrasound…) how much saline remains in a partially deflated breast implant.

If you and/or your plastic surgeon feel that ( based on physical examination) your breast implant has completely deflated, and you like the current look/size, then you may want to consider not re-augmenting the breast. It would certainly be to your advantage not to have to deal with the potential downsides of breast implants if you are pleased with the size/ appearance of your breasts.

I hope this helps.

Tom J. Pousti, MD

San Diego Plastic Surgeon

Thinking of Getting Saline Implants Removed, Is this Possible Without Sagging? I had gotten saline implants about a year ago, im 19 and I was a 34B before now a 34D, and im thinking of having them removed I have not been happy since i got them and do not know if i ever will be, could i get them removed without them sagging?

A: Removal of Breast Implants and “Sagging”?

Thank you for the question.

Without examining you or viewing pictures it is not possible to give you precise advice. However, based on your age and the fact that you have had the breast implants for only one year, it is very likely that your breasts will “bounce back” nicely after removal of the breast implants. Obviously, whether you will have “sagging” will depend on factors such as skin elasticity and the current position of your nipple/areola in relation to the inframammary folds.

You will also need to consider carefully whether you will be “happy” without breast implants; or would you be happier with removal of your current breast implants and replacing them with smaller breast implants? The more carefully you consider all options, the less likely you will require further breast surgery in the future.

Generally speaking what breasts look like after downsizing of breast implants will depend on several factors such as: the quality of skin elasticity (the better the elasticity the better the skin will bounce back), the size of the implants used (the larger the implant the more trouble you may have with redundant skin), and the amount of breast tissue present at this time (which may have changed since the time of your breast augmentation).

Life experience since your breast augmentation procedure, such as pregnancy or weight gain weight loss, will potentially influence the factors discussed above.

I would suggest in person consultation with well experienced board-certified plastic surgeons for more precise advice.

Best wishes.

Tom J. Pousti, MD

San Diego Plastic Surgeon