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Will Breasts Sag if I Decide to Explant?
asked 3 years ago by xklorx in WI
Latest answer by Ronald J. Edelson, MD
Question viewed 22,899 times
Tags: sagging, explant
What if you decided to explant? Will your breasts sag?
63 answers to Will Breasts Sag if I Decide to Explant?
+5
Depends
Your breasts may droop after explantation surgery depending on a number of elements including the size of your natural breasts, your tissue quality, the size of the implants, and the the position of your areola. However, if you are younger with small to medium natural breasts and healthy tissue, you will experience little to no droop. It is important to dscuss your needs and expectations clearly with your board certified plastic surgeon during the consultation for your physician to...
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+4
The answer to your question depends on the amount of...
The answer to your question depends on the amount of native breast tissue you have relative to the volume of your breast implants. The present position of your nipple will likely change. Obviously, the volume of your breast will change after implant removal.
They key to managing the inevitible 'sagginess' after explantation is an evaluation by a plastic surgeon for a breast lift (mastopexy). The procedure will reposition your nipple, redistribute some breast volume into an...
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+3
Sagging after implant removal
The extent of sagging will depend on how much breast tissue you have, how big the implants are, how much time has passed, if your weight has changed and if you have had children. If you went from a B to a C three months ago and have changed your mind, you will likely look pretty similar to your preoperative state. If you went from an A to a D fifteen years ago and have nursed 4 children, you should expect some significant sagging.
+3
Breasts will mostly will look more natural after implant removal
In many cases, they will not sag. They could look less perky and more natural. If your implant is very large the chance of sagging is much higher. A proper exam is necessary to give you different options.
Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+3
Breast implant removal
If you have breast implants and would like them removed, it's possible you may need a breast lift (mastopexy). This depends on several factors such as the size of the implants, the position of your nipple and the amount of breast tissue you had before the implants were inserted. This is difficult to answer without seeing photos or examining someone. The safest way to approach this issue is to remove the implants then wait about six months to allow for skin shrinkage and contraction to see...
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+3
Out But Not Down
Women may choose to explant or remove breast implants for a variety of reasons. They may be experiencing problems related to the implants, such as leakage or deflation, capsular contracture or excessive firmness of the breasts, the implants may cause the breasts to appear asymmetric, or the implants may not be in the proper position relative to the breast tissue. In some cases, the breasts may have enlarged as a result of pregnancy and breast feeding, or through aging and weight gain, and...
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Athleo Louis Cambre, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+2
Breast implant sagging after explant of implant
The answer is usually a simple one depending on the location of your nipple relative to the location of your infra mammary fold. If your nipple is located level or above the fold, you will not sag.
+2
Breasts May Sag After Explantation
Sagging is possible, not definite, after removing implants.
The important considerations include:
the degree of sagging you had before implantation
the degree of sagging you have before explantation
the size of your implants
how your skin has changed with aging
your skin elasticity
the ability of your skin to maintain tone after the implants are removed
Sometimes the answer is obvious to the plastic surgeon; other times,...
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+2
Breast sag after breast implant removal
Removal of large breast implants will definitely cause sagging of breast. if your breast implants are very small as compared to the size of your native breast then there might not be any significant sagging.
S. Sean Younai, MD
Beverly Hills Plastic Surgeon
Beverly Hills Plastic Surgeon
+2
Will breasts sag after implant removal
Great question. The answer depends on your anatomy, the quality of your skin, and the size of your implants. In most cases, I would predict that there will be sagging after implant removal. The breast tissue/skin has likely been stretched by your implant. In these cases, if the patient no longer wants implants, perhaps a breast lift would be in order. You will need to be evaluated by a board certified plastic surgeon to review your options.
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+2
Avoiding breast droop after implant removal
Typically if the augmented breast does not have any significant droop, them removing the implant will not create a droopy breast. The technique that I perform for this involves selective removal of scar tissue, and some quilting sutures to fix the breast in higher position.
+2
Breasts Sagging after Explant
Whether your breasts "sag" after explantation depends on many factors: the size of the implants, how long they've been in place, whether you've gain or lost weight, etc. Any breast augmentation will cause some stretching of the breast skin. When you remove this volume, the skin will contract to certain degree. For smaller implants in younger patients, this may very well lead to breasts that are similar to pre-augmentation. The larger the implant (for a given breast...
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+2
Breast appearance after implant removal
Breast implants add volume and a little bit of lift, so taking them out means your breasts will be smaller (or "deflated" appearing) and sit slightly lower, but if you have a good amount of remaining breast tissue, no sagging now or before your implants, and excellent skin quality, it may not result in sagging to a degree that you want a breast lift. Important factors include:
1. Did your breasts sag before your implants were placed?
2. Do your breasts sag right now with the...
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Anita Patel, MD
Beverly Hills Plastic Surgeon
Beverly Hills Plastic Surgeon
+2
Will breasts sag after implant removal?
Implants can, to some extent, camaflouge existing sagging of the breast. When the impant is removed, this sagging of the native breast is "unmasked". Removing the impant does not create sagging, it "deflates" the breast volume. You have to be prepared psychologically for this loss of volume.
The next question is, does the breast need to be modified after removal of the implant? It would need to be modified if is has significant, pre-existing sagging or excess skin. So...
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Tracy Pfeifer, MD
Manhattan Plastic Surgeon
Manhattan Plastic Surgeon
+1
Breast implant removal
Many women are afraid to have implants removed because they fear their breasts will sag afterwards. In my experience, most women who have their implants removed notice their breasts look pretty much like they did before receiving the implants. If it has been many years since receiving the implants, or if there has been significant weight gain, there may be sagging of the breasts after implant removal.Otherwise, the removal of the implants usually does not result in much sagging.
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Ronald J. Edelson, MD
San Diego Plastic Surgeon
San Diego Plastic Surgeon
+1
Removing breast implants - deflation technique
A trick that people often forget about is deflating saline implants as a small clinic procedure.
This involves literally popping saline implants in the office in an essentially painless procedure. We then let your body retract the tissue around the implants. This allows our patients to see how much their breasts will change. We have had patients that choose deflation, realize that their breast tissue is now sufficient, and decide to either have the implants removed...
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+1
Breast implant removal
Often when removing implants the breasts will return back to their initial shape. They may look more droopy depending on how long you have had them and whether or not you have lost weight or had children. They may look a little wrinkled for a couple months but then they slowly will regain their natural shape.
+1
Explant sagging.
Hello. Depending on what you started with, how large you went implant size and how long you have had the implants. The larger the implant, may result in stretched out skin that may need excision. I would recommend you meet with a board certified plastic surgeon who is experienced in breast surgery for best results. Good luck.
+1
Breast Ptosis After Explantation
If you have a degree of breast ptosis pre-operatively and the implants placed are large then if you remove the implants without replacement there is a much higher chance of deflation and/or breast ptosis. However, this depends individually upon the patient’s age and breast tissue elasticity. That is certainly something that needs to be considered if one is removing implants and not replacing them.
+1
Sagging after explantation
Briefly, everyone is different. Critical factors would involve the laxity of your skin, the degree to which you were augmented (I would expect a patient with 800 cc implants to sag considerably more than one with 275 cc implants), your age, the length of time that the implants have been in place, or weight gain/loss, etc. If your breasts sag after explantation, a breast lift can certainly be performed.
+1
Breast Implant Removal
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. It's difficult to say if you need a lift after removal -- no one will know exactly what your breasts will look like after the implants are removed until it is done. Talk to your surgeon and get good advice.
+1
Will breasts sag if implants removed?
The answer to this question varies greatly. But, in an effort to keep things simple, here it goes.
Breasts usually return to their original state before implantation except with one or more of the following:
Implants in place for a long time (>1yr)
Large size of implants
Advanced age
Implants are sub glandular (not behind muscle)
I hope this helps you and others in similar situations. If you do decide to remove implants ( and they are...
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+1
Implant removal
A breast implant and the breast tissue both combine to give the overall volume of your breast. Depending upon the proportions of each ( i.e. 50% breast 50% implant etc.), the loss of the implant may have little to a huge effect on the breast volume once removed. The breast is like a bucket handle. It hinges upwards with more volume and sinks flat when deflated. The nipple may not change position or it might significantly. The volume may not change much or it may change significantly. This is...
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Timothy Fee, MD
Jacksonville Plastic Surgeon
Jacksonville Plastic Surgeon
+1
Sagging may occur
Sagging will occur based on the following:
- the size of the implants relative to your normal breast size
- if you have lost weight
- if you had children
- amount of breast tissue you have
- skin elasticity
- and aging
You may want to consider breast lift (mastopexy ) if breast do turnout saggy after removal of implants. Please consult your plastic surgeon.
Chen Lee, MD
Montreal Plastic Surgeon
Montreal Plastic Surgeon
+1
Will breasts sag after explantation?
This really depends on a number of factors. Foremost is how stretched out your breast envelope was by the implants. If you had small implants and have good skin elasticity your breasts should not sag very much. If you had large implants and have poor skin quality your breasts will droop after implant removal.
+1
BREASTS WILL SAG POST EXPLANT IF YOU HAVE LARGE BREASTS ON TOP OF LARGE IMPLANTS
Breast sagging or ptosis will depend on several factors:
amount of breast tissue
size of breast implants
skin quality
amount of time the implants have been in place
if they sag now before the explant
Consult a plastic surgeon to see whether you are at risk of developing ptosis after explant.
Dr. Carlos Cordoba
MDCM, CSPQ, FRCS, FACS
Plastic & Esthetic Surgeon
4055 Ste-Catherine O. Suite 100
Montreal, QC. Canada H3Z...
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Carlos Cordoba, MD
Montreal Plastic Surgeon
Montreal Plastic Surgeon
+1
Implant removal
There are many variable to this questions. Your breasts will be different. A well trained board certified plastic surgeon will be able to examine you and assist you. Best wishes!
Christine Sullivan, MD
Columbus Plastic Surgeon
Columbus Plastic Surgeon
+1
Breast Implant Removal
It depends on your current breast shape, size, and sagging. If your implants are small and you do not have any sagging prior to explantation, then your breasts may contract well without a need for a breast lift. If you do have breast sagging prior to explantation or a relatively large implant, then more than likely, you will need a breast lift. See example below.
+1
Breasts will likely appear droopy after explantation
In the vast majority of cases, breasts will tend to droop, sag, or appear deflated after the removal of breast implants. The extent will be determined by the elasticity of the skin, the amount of breast atrophy that has occurred, and the length of time the implants have been in place. I try to inform patients that it is likely they will be dissatisfied with the appearance of their breasts once their implants have been removed. However, in many cases, a breast lift can...
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+1
Just say "No" to implant removal without replacement.
Yes, your breasts will sag and look worse than before you had them placed. However, I do realize that there are numerous reasons for wanting to have your implants removed, particularly if you have pain or capsular contracture causing hardness or unnatural appearance. Most women who request implant removal are hopeful that their breasts will look like they did before hey had their implants (though of course, there may have been intervening children, breast feeding, or weight gain/loss). ...
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+1
Breasts usually not the same after implant removal
Having breast implants changes the breasts, often by expanding the skin envelope. Additionally, breasts change over time even without implants, one of the reasons we sometimes put implants in to restore lost volume. So when implants are removed there is often some sagging so a lift may be needed.
+1
To some degree sag is likely
Sagging of the breast following implant removal depends on skin elasticity, volume of breast tissue, volume of the implant and length of time the implant has been in place. Generally some degree of sag is likely.
Robert Sleightholm, MD
Brampton Plastic Surgeon
Brampton Plastic Surgeon
+1
Breast Sagging After Implants Removed
After breast implants are removed, the breast loses support. The amount lost is proportionate to the volume lost. The larger the implant, the larger the volume loss and the more sagging expected.
How much sagging you will experience depends on three factors: the volume of the breast implant, the volume of your natural breast tissue and the tightness of your skin. The smaller the breast implant, the greater the natural breast volume and the tighter the skin, the less sagging that will...
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Joseph Mele, MD
Walnut Creek Plastic Surgeon
Walnut Creek Plastic Surgeon
+1
Try popping the breast implants
I would agree with the other posts that in general your breasts will sag after implant removal to some degree. The larger the implant, the greater the droop. The question is whether the amount of droop is significant enough to require a breast lift.
Here's an unusual but effective strategy to help both you and your plastic surgeon in the decision making process. Pop the implants! This is a simple office procedure. You will instantly know the shape and...
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+1
Your breasts will probably look worse after implant removal
Like pregnancy, breast augmentation stretches tissues irreversibly. Your abdomen probably doesn't look as good now as it did before you had children. Similarly, your breasts will not look as good after implant removal as they do now.
Removing your breast implants will result in loss of breast volume that is usually most noticeable along the upper and inner breast (exactly where you want to keep volume). Some sagging may occur. These changes will be most...
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Ronald Friedman, MD
Dallas Plastic Surgeon
Dallas Plastic Surgeon
+1
Breast Sagging after Removal of Implants
Basically, the answer is yes. If you remove the implants, you are removing volume. Less volume means less support to the skin which allows the breast to fall. If you have small or moderate implants that the effect may be minimal. However, if you have very large implants then you may require a breast lift at the same time. Please make sure that you are seeing a board-certified plastic surgeon. Good luck.
+1
Implants Away
Most of our patients who decide to have their breast implants removed do so because they are having problems or have decided that implants are simply not for them. This is rare. With some education about the possible results we find that our patients are happy with the implants out and the breast appearance. They want to go back to natural so any sag is accepted by the patients. It is not up to plastic surgeons to tell anyone that they need to have breast implants.
James Apesos, MD
Dayton Plastic Surgeon
Dayton Plastic Surgeon
+1
What happens to breast shape after implant removal?
That depends a lot on the following:
1. how much breast tissue you have
2. skin quality
3. how big those implants were
Generally, removing a smaller implant from someone who had a decent amount of breast tissue from the start may mean the final result is something most women can tolerate or even like. But removing a big implant from someone who had little initial breast tissue will likely leave a woman with a bag of stretched loose empty skin. ...
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Carmen Kavali, MD
Atlanta Plastic Surgeon
Atlanta Plastic Surgeon
+1
Breasts CAN sag after implant removal
Breasts can sag after implant removal, but it depends on many factors
1. if your implants are excessively large then removing them likely will result in sagging despite any technique used to prevent it.
2. if you have drooping of the tissue with the implant in place it will only get worse after surgery.
3. if your breast skin has stretch marks or is has lost its elasticity then you will likely get more sagging.
4. if you have lost a modest amount of weight and have some loose...
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+1
Will breasts sag after implant removal??
The answer to this good question is that it all depends on your tissue quality, how big your natural breatst are, how big your implants are, and where your nipples are positioned now. For a small breasted person with small implants with good tissue elasticity and high placed nipples, there may well be no need for lifting. Others may not be so fortunate.
+1
Breast Sagging After Removal of Breast Implants
Removing your breast implants will certainly result in reduced breast volume. Whether or not your breast will sag depends on the size of the implants relative to the size of your breasts, and your skin quality and tone.
If you are considering explantation, please have the following information available for the explanting board certified plastic surgeon-
1, The size and manufacturer of the implants
2, Are the implants smooth or textured?
3, Are the implants above or...
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+1
Removal of Breast Implants
It depends how old you are, how tight your skin structure is, how large the implant is, and whether or not you have any degree of breast ptosis (sagging). Without knowing these answers it is hard to answer your question in particular.
However, let's assume that you have a 250 cc implant and you are young with tight skin, in this case the sagging would not be a problem. If you are older with a 400-500 cc implant and you already have some degree of ptosis, the...
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Farhad Rafizadeh, MD
Morristown Plastic Surgeon
Morristown Plastic Surgeon
+1
Sagging breasts after breast implant removal
Your breast implants have stretched the overlying breast tissue. When these implants are removed, is very common to have sagging of the breasts. This may be corrected by placing a another implant into this pocket or by performing a small breast lift
B. Pat Pazmino, MD
Miami Plastic Surgeon
Miami Plastic Surgeon
+1
Will my breasts sag if I decide to explant?
There are a number of variables that will determine whether or not your breasts sag after implant rmoval. In my experience, I usually prefer to remove the implants and let the breast and skin fully heal for several months to see what you look like. Only then can we see whether anything else is needed. Most of the time, we do nothing. Occasionally, an uplift may be helpful.
Randy J. Buckspan, MD
Austin Plastic Surgeon
Austin Plastic Surgeon
+1
Sagging of breasts possible after implant removal, but not necessarily.
The breasts may appear saggy or deflated after implant removal. Many do not however. Whether they will or will not depends on circumstances-amount of native breast tissue, previous pregnancies, size of the implants, etc. Most of the time the surgeon will have a decent idea of whether this will be a significant issue or not.
+1
Your breasts could sag more if you remove your implants
There are several factors which influence whether or not your breasts will sag more if you simply remove your implants. These factors include (but are not limited to) the following:
size of implants
volume of pre-existing breast tissue
skin tone
degree of overall laxity
With this in mind, for those patients with saline implants I have begun deflating their implants in the office at least 4 weeks before removal or downsizing. By doing so, this allows for the...
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Gregory A. Buford, MD
Denver Plastic Surgeon
Denver Plastic Surgeon
+1
Sagging after breast explantation
Sagging is a generic term but it not anatomically specific enough to determine what one is talking about. Sagging can mean the breast tissue is hanging below the inframammary fold, or that the nipple is pointing to the ground, or that the skin is flaccid. The result after explantation is dependent on the type, size, and dimension of the implant and the quality, amount, and location of your natural breast tissue. Most probably the explantation will leave an emptier appearance.
How empty...
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+1
Breast Implant removal = Empty Breasts with more than likely Sagging
In the simplest analogy, the breasts act like a sail or a windsock. When the SAME sock or sail (IE breast skin envelope...simplistic remember?) is filled with wind (IE an implant) they fill up. Once the wind goes away (or implant remove), unless the envelope is markedly reduced, the sail / sock / breast will be empty and then sag.
But - the addition of an implant often stretches the breast and generates more breast skin. That means that the breast that loses its implant is larger than the...
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+1
Will breasts sagging after removing breast implants
The equation for droop is too much skin, not enough breast tissue.
The answer to your question depends on several things...
If you had implants to get rid of the droop, the droop will return.
If you had implants placed, they may have stretched out the skin, (especially if you nursed, lost weight, had them in for a long time, had large implants, smoked, etc).
Most women who have their implants removed usually need a lift to take up the extra skin. The extent of the lift depends on the...
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Jeffrey Roth, MD
Las Vegas Plastic Surgeon
Las Vegas Plastic Surgeon
+1
Sagging after breast implant removal
The quick answer is, yes your breasts will sag after removing implants. Of course, there is a wide spectrum of shape, size and the amount of sagging that can occur.
If you started with very small breasts and had a modest sized implant placed (eg. under 250cc) you may not have significant sagging. The larger your breasts were before augmentation, the more likely it is that you will have sagging after removal of the implants. Also, the larger your implants are, the more chance of significant...
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+1
Implant removal and the possibility of sagging.
The probability of sagging after implant removal primarily depends on whether you are sagging prior to implant removal. Sagging is measured as the position of the breast tissue and nipple in relation to the crease.
see video
Otto Joseph Placik, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
Will my breasts sag if I have my implants removed?
Hi there-
The answer to your question will depend on multiple variables, not the least of which is how much drooping of the breast would be acceptable to you if you were to have your implants removed.
In other words, I think what you really want to know is, "If I have my implants removed, will my breasts sag so much that I hate them and have to have more surgery to make their appearance acceptable to me?"
This will depend on a few things as well- most of which could not be know...
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+1
Breast Appearance After Implant Removal
Breast implants cause the skin and breast tissue to stretch. So after the implants are removed the breasts will appear more or less like deflated balloons. If the nipple areolar complex is in the correct location the there won't be sagging but more of the deflated look.
Christopher L. Hess, MD
Fairfax Plastic Surgeon
Fairfax Plastic Surgeon
+1
Explantation and breast sagging
To answer your question require an examination of the breast, the size, the quality of the skin, the quality of the breast tissue, and the ratio of fat and breast tissue you have.
You will become more empty, smaller less projection, less upper pole fullness. you have to be psychologically prepared to accept all of these issues. How much drooping you will have will vary on the skin and breast quality.
Samir Shureih, MD
Baltimore Plastic Surgeon
Baltimore Plastic Surgeon
+1
Explantation
The real issue is the amount of skin and breast tissue you had prior to augmentation. If you were somewhat droopy prior to your augmentation and the purpose of the implant was to fill your envelope, you will still be somewhat droopy and may require a breast lift. If your skin was tight and the augmentation provided volume and was not to address an empty envelope you may return to your preaugmentation appearance.
Roger J. Friedman, MD
Bethesda Plastic Surgeon
Bethesda Plastic Surgeon
+1
Removing a breast implant
The volume of a breast implant lifts and fills the skin. What will you look like if you remove the implants altogether? Will you sag? Look like you hopped out of national geographic? or not?
How old are you?
Have you had kids? Breastfed?
Are you drooping with the implants in? (If you are, you can be pretty sure you will droop when you remove the volume)
How big are your implants?
How long have you had them in?
If you have saline implants, I have been successful at deflating them before...
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Lauren Greenberg, MD
Palo Alto Plastic Surgeon
Palo Alto Plastic Surgeon
+1
Removing Implants can result in sag
I have had several patients decide to remove their implants with mixed results. Several things to consider include;
1. If the implant volume is very large, it will cause them to sag.
2. If you had the implants placed to eliminate a sag, then the sag will return.
3. If you had babies after the implants were placed, sag is likely.
4. If you recently had an implant that was not too big, and you were not saggy and did not have a baby then your chances of looking good are possible.
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Robert M. Freund, MD
New York Plastic Surgeon
New York Plastic Surgeon
+1
Breast after implants
Breast do not always sag after implant removal. It depends on the amount of tissue remaining as well as the size implant that was placed. In general, the higher the percentage of implant volume to native volume the more likely the tissue will be loose and require a lift.
Dr Hedden
+1
Removal of Breast Implants
Breast implants will expand the volume of the breast as well as the skin envelope. In most cases, simple explantation of an implant will result in loose or excess skin. Discuss your aesthetic goals with a plastic surgeon prior to proceeding.
Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+1
Factors to consider before explanting
The most important factors that will determine if you will require a lift after explant are:
1) SIZE of your current implants.
2) Amount of BREAST TISSUE that you had before.
3) TIME interval since your augmentation.
4) Degree of BREAST SAGGING that has occurred since your augmentation.
5) POSITION OF YOUR NIPPLE in relation to the lower breast fold.
+1
Breast explantation
It all depends on what you started with, as well as how large you went with the implants and how long you have had them. The larger the implant, the longer you have had the implants the more the likelyhood that you would require a lift after explantation. Hope that clears things up.
Farbod Esmailian, MD
Orange County Plastic Surgeon
Orange County Plastic Surgeon
+1
They can but not always.
Hello,
Not all explantations require breast lifts, but if they do they can look pretty good once they heal. If you didn't go too large on your implants and your weight has remained stable over the time you have had them, it is more likely that you would not need the lift.
How "perky" you want things afterwards of course also makes a difference.
+1
This is a question that varies from individual to...
This is a question that varies from individual to individual. There are many factors that should be considered:
age
length of time implants were in
size of implants compared to original breast size
capsular contractures
pregnancy
etc...
If the implants were small, you were young, you had reasonable sized breasts to begin with, and only recently had them placed, then I would probably say no, they wouldn't sag much.
The opposite is true for large implants, older person, no original breast...
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