Unilateral or bilateral explantation?

Hello Doctors - What are the pros and cons of unilateral vs bilatral explantation of breast implants when one side of the breast is fine? If I have the implant removed from the problematic breast, I may not be able to have the same size inserted again but a smaller implant, right?

Right now I am seeing rippling with the same size implant (275cc after multiple surgeries on the same breast even with silicone under the muscle). Would I achieve better results if I leave it out for a year and let things heal up?

5 answers to “Unilateral or bilateral explantation?”

A: breast implant rippling

Trevor M. Born, MD

 Dear Imadvice The rippling may be a result of thin breast tissue or capsular contracture.  The best solution i have seen is doing micro fat grafting to the breast to increase the soft tissue coverage. If you have a capsular contracture then other remedies are indicated- open caapsulotony or oral... more

A: Rippling and implants

Steven Wallach, MD

 If you are concerned about rippling, you may need the implants removed and exchanged to a different pocket plane. If they are already under the muscle you  may need another layer of coverage like Alloderm.  Yes, it may be a good idea to have both implants exchanged.

A: Implant Exchange

Farbod Esmailian, MD

I would not say that is the solution to your problem.  It sounds like you are having problems with inadequacy of soft tissue coverage of your implants. What you need is better coverage and adjustment of your implants, in size perhaps.  Alloderm or other such products are helpful in that they add soft... more

A: I would recommend replacing both implants

Shahram Salemy, MD

 Replacing both implants is probably your best bet, as you will have a better chance at achieving symmetry.  In terms of the rippling, another option to help hide the rippling would be to use a product like Alloderm.  Alloderm is human skin which has been treated-- what is left is a collagen... more

A: It all depends...

John LoMonaco, MD

If your implants are older, or if the correction on the affected side requires a differently sized or shaped implant then a bilateral exchange makes sense. Rippling can be a tough problem, especialy in thin individuals, and you already have gel implants under the muscle.  Hard to go beyond that, except... more

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