Breast Implant Removal: Q&A

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Inframammary Fold Collapse?

my breast implants were replaced in June after 21 yrs left side had collapsed due to free leaking silicone my doctor reattached the mammary fold to my rib bone.( very painful) right side was fine just had leaked inside itself, so he just replaced the implant he did not use any drains one month after surgery the right mammary fold collapsed he just keeps saying he does not know why, but says he did not attach it to my rib bone like the other side because it did not need it what is your opinion

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5 Doctor Answers | Asked by queensusan

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Implant Replacement Collapsed

Thank you for your question. When there is a gel leak, different approaches are sometimes needed to remedy the situation. If the cosmetic result is fine, then thank your doctor for making a good decision. Surgical decisions are all about the right decision for the specific location, which may be different than the opposite side. If they are a Board Certified Plastic Surgeon, they have had extensive training to treat this kind of situation. I hope this helps.

Fold Issue

Inframammary fold issues can be a problem especially with larger implants. A proper evaluation of the problem really needs to be addressed in the office during consultation to give an adequate response.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Right Fold Collapsed after Remove and Replace

If the right side just underwent remove and replace, then the fold should not have collapsed unless a larger implant was selected or unless extensive removal of silicone granulomas or capsulectomy was performed, which may have been necessary. If you had capsular contracture before surgery and this was holding the implant higher, then removal of that tissue may very well cause the fold to collapse after years of unrecognized tissue laxity. At any... more

Implant bottoming out

Bottoming out or inferior displacement of the implant violated the infra-mammary line. The cause of downward migration of the implant can be of several reasons. 1: too big of an implant 2: surgical error of destroying the inframammary line (violation of the fascia holding the inframammry line) 3: Unrecognized preexisting low infra mammary line 4: very lax tissue these are some of the reasons. correction can be done by several methods sutures at the inframammary... more