Breast implant removal - how likely I will need a fat transfer or lift? (photos)

I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained, if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired. The pectoralis major muscle cannot be repaired if it has been cut because it usually retracts.

Best Wishes,

Gary Horndeski, M.D.

Hello @Olive87, thank you for your question. Sometimes breast implant removal can cause alterations in the chest wall or breast tissue, such as indentations. This is usually more evident in women with larger implants, as the larger the implant, the more it can alter the natural anatomy over time. However, it depends on the specialized surgical technique and procedures that are determined to be used to achieve an adequate result. I always approach a breast explant with immediate aesthetic reconstruction to reposition the breast tissue and enhance the projection of the upper pole and medial areas using the BRALAN (Breast Reconstruction Anatomical Lift Augmentation) Technique, as the results will be aesthetically adequate and have minimal L-shaped scar and lift if necessary. In this way, you would get an aesthetic result with which you would be happy.

If what you want is to perform an explantation with capsulostomy is not convenient to perform the fat transfer to the breasts in the same procedure, it is advisable to wait 3 to 6 months to prevent the fat from dying or risk of infection. It is best that you consult with one or more board certified plastic surgeons for more information and options tailored specifically to your needs. Best regards.

Alan Gonzalez MD, FACS Best wishes! Alan Gonzalez MD, FACS. Member of the American Society of Plastic Surgery (ASPS), Member of the International Federation for Adipose Therapeutics and Science" (IFATS), Member of the American Society of Plastic Surgery (ASPS), Member of the Colombian Society of Plastic Surgery (SCCP).

Even removed, you may still have some animation deformity when flexing your muscles. Also, you do not appear to have much donor fat for a transfer. Do remember you were not happy before implants and may not be happy once removed. You might consider going smaller instead.