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After Explantation W/o Revision, Will Internal Breast Lift Minimize Breast Tissue?

asked 11 months ago by gardeniian
Latest answer by Tom J. Pousti, MD
Question viewed 1,146 times
Tags: 10 years post-op, explant, internal, options

33 y/o 100lbs. Explanting after 10yrs of saline implants 300cc. No weight gain nor pregnancies. Concerned of outcome b/c skin has been stretched so long. Was 32AA, want to look as normal as possible. One Dr. said no need for lift, skin was "good" I'd go back to old self & fill out over time. Other Dr. said yes to internal lift or risk looking deformed/deflated. Will internal lift reduce the little volume I may have? If no lift will scar stay high? Will lift hide scar in crease? im mostly implant

8 answers to After Explantation W/o Revision, Will Internal Breast Lift Minimize Breast Tissue?

+3

Removing Implants

I agree that you have a beautiful result. Occasionally, I see patients who just want the implants removed because they don't want the implants "to be a part of them" anymore. Make sure you think about this and that this is the right thing for you. I don't know what an "internal lift" is in regards to implant removal. I use internal sutures (capsulorrhaphy) but for patients who have implants for better pocket placement. It's... more
Tom J. Pousti, MD

San Diego Plastic Surgeon
+2

Remove the implants first

You have a great result right now. If you want to be smaller, just remove or deflate the implants and let the skin retract at first then revise prn.
Nasimul Huq, MD

Niagara Falls Plastic Surgeon
+2

Removing implants

I totally agree with Dr. Rand. You have an excellent result and I would think hard about removing them because you most likely will not look very good and will have extra skin. Additionally sometimes the rib cartilage can be affected with a concave appearance after removal. Once again an internal lift is "bogus".
David Nicholas Csikai, MD

Jacksonville Plastic Surgeon
+2

Breast implant removal

In all likelihood removing the implants alone will leave your breasts flatter and empty. You most likely will have not tissue inside to really lift. I would remove the implants only, and give it a chance to settle. If you need a lift, you can always get it later.
Steven Wallach, MD

Manhattan Plastic Surgeon
+2

Implant removal and breast lift

You certainly have an excellent result. I am not sure of the reason you want to remove the implants, but I think you need to consider how you may feel with minimal breast tissue. You do not have a lot of skin laxity, so I don't think you will need a lift subsequent to removal.
David A. Bottger, MD

Philadelphia Plastic Surgeon
+2

Breast implant removal

Your photos show a perfect result. Are you sure you want to lose that??? There is no need to do anything but remove the implants. An "internal lift" on you is bogus.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+2

No need for lift

There is no indication for lift. If you get explantation your breast will retract in two weeks. If you plant to remove implants with no replacement, I would recommend bilateral implant deflation in office to see how your tissue will retract. I have done fat grafting for patients in similar situations. Check my web site
Kamran Khoobehi, MD

New Orleans Plastic Surgeon
+1

Removing breast implants may require a lift

After your breast implants are removed, you may require an internal and external lift. However, it's difficult to give you an exact answer because a lot of the aesthetics of the lift will be determined in the operating room. Therefore, I would expect both types of lift going into the operating room and trust your plastic surgeon to give you the best result.
Jeffrey E. Schreiber, MD

Baltimore Plastic Surgeon

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