Would Mastopexy Be Likely?

I'm 5'6" & weigh about 106. I've had silicon implants for 26 years. The implants have changed, feel hard, cause discomfort. probably too large (34 full C) for my frame. I was a small B when I had augmentation and about the same weight. I'm now 61 and want explantation. My last Mammogram did show changes in the R breast. I plan to have a current Mammogram or MRI done soon to see if there is a rupture. No more implants. Probably not great skin quality (61). Would capselectomy & lift be probable?

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age 55-64 5 ft 4 in to 5 ft 7 in silicone implant 090-109 lbs

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7 Doctor Answers | Asked by kpett in Tampa, FL

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Yes

Most likely you will need a capsulectomy and removal of current implants and a breast lift. Depending on your breast tissue and health, these can be usually performed in one operation. Best Regards, Lane Smith, M.D.

Options for 26 year old implants.

From your description, it is likely that you have gel outside the shells of the implants and resultant capsular contractures. When removing implants, the breasts certainly deflate, but the degree of ptosis (droopiness) is variable. Whether your breasts "rebound" with contraction is difficult to determine, even with a physical exam. If you do not wish to have an exchange of your implants for new ones, I usually recommend performing the capsulectomy first and allowing the breasts to heal... more

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

Pain in breasts

You probably would need a lift.I often remove the implants let them settle down and do a lift later.In some cases it is obvious that a lift would be needed.

Would Mastopexy Be Likely?

After you complete your imaging studies, the best way to get an answer will be in the setting of a consultation. It seems highly likely that removal of the capsule will be necessary, and it that setting it is uncommon to offer a mastopexy at the same time because of increased risks of depriving the breast of adequate blood supply. That simplifies the decision tree--no decision on a lift, and the wait 6 months, see if the skin shrinks down and decide then.j All the best. more

Breast Lifting Necessary after Removal of Breast Implants?

Thank you for the question but, without examination or viewing pictures, it is not possible to provide you with precise advice regarding the potential need for breast lifting surgery ( after removal of breast implants). The position of your breasts on your chest wall and the position of your nipple/areola complexes on your breasts will determine whether breast lifting will be helpful. Generally speaking what breasts look like after explantation depends on several factors such... more

Mastopexy after expalantation?

It is difficult to say whether a mastopecy is necessary or possible after your implant removal without an exam. If you do not have alot of tissue and you ahve large implants it may not be possible at that point and you may have to see how things heal.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast implant explant

After so many years the implants are possibly ruptures. and the skin has lost its elasticity. Workup the changes in the breast mammogram, then make a decision after the results. If explant and capsulectomy is done, you most probably need a lift. Ofcurse that also depend on the shape of the breast you want. Discuss with your plastic surgeon all options and expected results and potential risks and complications. hope the changes in the breast mammogram are ok