How will my breasts look after removing 300/350cc saline implants?

I have learned serendipitously that although breasts look really bad and collapsed initially after implant removal without a lift, over several weeks, the skin contracts and they end up looking like breasts again. I have started offering this procedure, explantation only, to all of my patients who want implant removal, with the understanding that if the breast does not firm up enough to be pretty, we can do a lift then as a secondary procedure. A lift later usually involves smaller incisions than a lift done at the same time as implant removal, so in my opinion, there is benefit in wainting.  In fact, in the 12 or so patients I have treated this way over the past 18 months, none of them have needed a lift, and all have been happy with the results. It is a small number to be sure, but there is little risk in this approach and much to gain in terms of avoiding more scars if a lift is not necessary.

Good day! Generally after explantation, the shape and size of the breast will be unpredictable. The breast will be smaller and possibly sag more. Result varies between patients and it will largely depend upon their age, duration and size of the implant, or previous state of their breasts like existing anatomy, deformity, previous surgeries, underlying personal and family medical conditions, nicotine use, pregnancy and other factors. Do not hesitate to contact your surgeon about this and discuss realistic goals and expectations. Best of luck! #RealSelf100

In any particular case, it’s
virtually impossible to know if a breast lift will be necessary following
explantation without pictures or a physical examination.The presence of a nipple areola complex that
sets below the inframammary fold, poor skin tone and a high ratio of implant
volume to native breast tissue volume often suggests the need for breast lift
surgery. Breast sag following explantation is more likely in
patients who have had multiple pregnancies, have breast fed, have had weight
fluctuations, and have had implants for longer periods of time.When implants are large and are placed on top
of the muscle, the incidence of breast sag following implant removal is higher
as well.If you’re considering removal of your breast implants,
consultation with a board certified plastic surgeon is appropriate.This surgeon should be able to determine the
likelihood of a breast lift following implant removal based on your physical
examination.He should also be able to
formulate a treatment plan that addresses all of your concerns.

USe your existing scar and you may want to consider implant deflation with a needle to determine if you will be happy with the implant out or if you prefer a smaller sized implant replacement

This will change the appearance of your breasts.  Your breasts may not just be smaller but they may be lower on your chest with excess undesired skin.  It is difficult to say if you will need a lift, this is something that we would need to do measurements on and an exam.  Gradually decreasing your size will not really help either.  Also when removing the implants after such a long time, you must also know that you may not have much of any breast tissue left.

I would recommend seeing a plastic surgeon who can approximate the amount of breast tissue you would have after the removal and if you would need a lift.

Good luck.