Implant Removal and Fat Transfer - Latham, NY

I am 48 and had saline implants placed in 2000...

I am 48 and had saline implants placed in 2000 when I found myself with NO breasts after nursing my children. They have never looked natural, and I find myself trying to hide them and embarrassed by them. I have finally made the decision to do this. Cant live with these implants any longer. Too fake and unnatural. Will have 250 ml saline implants removed followed by fat transfer. Hoping simply to have any amount of breast tissue and no larger than a B cup. Irrational fear of possible complications such as a fat embolism and dying to simply have boobs! I will be doing this on my own as it is something I am not comfortable sharing with those I know. The surgeon thinks she will transfer about 300 ml to each breast. I am hoping to be able to conceal the swelling so that I can return to work in 5 or so days with no one noticing. I will be horrified if I look like I have DD! 2 weeks out and still cant believe I will be putting myself through lipo. I am thin so she will have to take fat from several different areas. Will be staying overnight at the surgical facility as i am traveling alone. Cant wait to get these things out


Congratulations on your decision to have your implants out. I had silicone implants in for 30yr. Had them July 2012 and fat transfer done March 2013. My PS went on the conservative side and only put 400cc and 435 in each breast. I lost more fat than I hoped to, so I am actually having a second transfer done in the next few months. They say you can loose up to 50 - 60%. Trust me, you will loose more than you think you will and you will wish she would have transferred more fat. That being said, you may want have her transfer more than 300.
  • Reply
I would love to end up retaining about 200cc. I am not sharing that I am having this done with anyone so I worry about being able to conceal huge boobs until swelling goes down, I can not afford to do this more than once, I will make sure to discuss further with PS before surgery. Thanks for the advice.

Pre Op

Getting close now. Drove to Latham NY yesterday for pre-op physical, mamogram and blood work as well as pre-op apt with PS's nurse to take care of all of the paperwork and answer any questions I may have. I am having surgery Wed March 12. Will be so relieved to be rid of these implants . Worried about complications and potential for significant swelling that I will be unable to conceal. I am hoping recovery will not be as long as some of you have experienced as I will have to go back to work after 5 days or so.


Hi d256. . . Tomorrow is your big day. I'm sure you are a little apprehensive about the whole thing. You will do fine. I can't even begin to tell you how good you will fill having those implant out of your chest. I feels like a weight has been lifted. You will be able to breath easier, literally. Keep posted on your procedure and the amount she transfers. I will think of you tomorrow and keep you in my prayers. If you post a pic to your blog your review will go to the top of the list and be seen by more people.
  • Reply

24 hours pre-Op

Thought I would keep my post going in the hope that it helps someone else know what they can expect from this procedure. Here are some before pics. I can stand to lose a few pound especially from upper thighs. Sorry pics are not great but you can definitely see how unnatural and round implants look with the edges showing. Pre surg I am 5'5 and a little under 125 lbs. Less than 24 hours and they will be out. Cant wait- but definitely nervous about lipo and recovery

Please join RealSelf or sign in.


More pics for before lipo views

Here are a few mote pics prior to the lipo portion


Hi D265. You are the first person I have found on this site whose boobs resemble my own! I had silicone implants in '96. Loved them as I was very flat previously (always small but breastfed and lost the lot!) I would have loved to have them out and replaced but I am slim and wanted them bigger (only had small implants). Not enough of my own flesh to cover them so got a similar 'round' unnatural look that you mentioned. I have now had fat transfer done twice in UK and I am feeling much happier with them, but there was such a little difference each time and I still don't have a cleavage, which is my holy grail to aim for. So, I think I can do it one more time but am looking around at retention rates and doctor's at the moment so will be looking at your results with great interest! The reason I wanted to write to you was to say that you won't need to worry too much about hiding them from people. In my experience, even with the swelling, they are not ever THAT big. Also, you will be having your implants removed so that space will be filled, whereas with me it was all 'extra'. I think you might regret not having a lot transplanted just because you are afraid of hiding it from people - remember how expensive this is if you need to repeat the process! You can always wear a baggy jumper for two weeks until they go down, but I think you will be surprised by how small they will actually be. I hope this will reassure you so that you get what you want and don't settle for less! Remembe, this is about YOU not any one else. I wish you all the best and do post photos please.
  • Reply
Hi Eva--Thanks for the advice. I will talk to my PS before surgery tomorrow. I really just want to be a B cup -like you I was a small A and lost ALL with nursing kids. I like small boobs--But I do not want to end up so small that I am AA !

5 hours post op

Time does pass!! All done. No more implants :) !! I think i was in surgery for about 3 hours. I am staying overnight at the surgical facility ( and very happy I am doing so). Ellis Health Center (in Schenectady NY) has an outpatient surgery center and an Emergency room as well as the Health center as far as I can tell. Have not talked to PS yet so do not know details of surgery. I had conscious sedation. Felt surprisingly well for first 4 hours. Then a a brief period (10 min) where I was very nauseous , dry heaved only. got some anti -nausea meds in my Iv , had a few saltines and nausea disappeared. Feel 90% there mentally as far as after effects of anesthesia. As far as pain--very little at lipo sites (I had tummy, flanks, inner and outer thighs) Not really any pain just soreness when moving, a bit light headed when I get up so have not walked yet. Breasts had some burning pain ( on a 1-10 scale about a 3) for a few hours. Now none, just discomfort from bra, compression garment under my bra band. Now for the boobs.They are definitely smaller than with implants (that is what I wanted) but I am worried they may be too small It seems they are what I wanted for size right now maybe a b cup) and I know I will lose some. I will be curious to hear if Dr. Capek was able to place 300 cc as she planned. PS did say she would be limited by skin--that once skin gets tight she does not add any more fat , as it will just die due to the pressure. I am leaking quit a bit of tumescent fluid, which is good, hopefully will get most of it out before I head to hotel tomorrow . I will have to ask if they are giving me pain meds in my IV,although from other posts I am expecting tomorrow to be a painful day.


Morning ... You are likely to still feel comfortable due to the painkillers given during surgery and indeed the numbness that will be present on the doner sites. I'm on day 4 now and my doner sites still have a numb feeling, very bizzare!! I left the hospital with 3x boxes of meds.... An antibiotic (to be taken for 7 days to prevent infection) codeine (a string pain relief) and paracetamol .... I began weaning off them yesterday as I am no longer in any pain .... Just very bruised internally, I don't appear to have much external bruising.... Just slightly darker boobs & 2 very dark black bruises at the top of my buttocks. Wishing you well xxx keep posting xx
  • Reply
Hi. Great to hear from you so soon. Glad it's all over for you, and you can now relax and recover. I felt like I had to incubate my 'babies'; keep them warm and well fed! (Well you never know what might help!!) Hope you retain most of the fat as it sounds as if it is not as much as you were expecting, so at least you won't have to worry about hiding them! I hope that is a good thing for you as you didn't want big did you? What is this 'band' people talk about having on after the procedure? What have you been given to wear on the top? Hope it continues to go well for you and do take photos. Take care. x
  • Reply
Hi Eva, I don't think I will have to hide them :). I did not want big but was hoping for small b to b-- Just hope I retain a good amount of what is there!. Starting to swell and bruise now. belly seems quite swollen. I am wearing a compression garment. It helps with healing, swelling and bruising , I will be wearing it for 6 weeks! The connection between skin and underlying tissue needs to be rebuilt essentially. I have found pain under my breasts where bra band is not from the garment or bra but from the incisions to remove the implants. Guess that makes sense as muscle was cut. All i have taken so far is Tylenoand am still comfortablel. Waiting to see what tomorrow brings

28 hours post op

I am 28 hours post op and still doing well. Stayed overnight at surgical center. Great care. I was the only patient there with 2 nurses on staff. I received IV antibiotics every 8 hours while there (3 doses total) and also had 3 doses of IV tylenol. That is all I have taken for pain meds at this point. I am staying overnight at a local hotel and already feel well enough to drive home tomorrow ( I did not have general anesthesia). As far as pain now--none really just sore. Incisions under my breasts feel better with the tylenol. No pain from lipo, just stiffness and soreness. I feel best when pacing around the hotel room . Sitting is fine, the transition from sitting to standing is when I feel bruised and sore. Had a short check up with Dr Capek this morning. She transferred a bout 300 cc to each breast. She used all of the fat she removed from me and did not feel she could remove anymore without risking contour irregularities. I think I feel relatively well because of her lipo technique. She performs a gentle low pressure liposuction and does use tumescent fluid. She expects me to lose 10-20% of the volume I hope she is right about that number, that would be the perfect size for me. Just light walking for the next week and then I can increase the distance but nothing that has impact ,no running or even power walking for next month as she does not want the fat graft disrupted. I can shower and wash compression garment after 48 hours, I can also switch to the Spanx garments. The surgical compression garment she provided is comfortable enough. Sort of a high power spanx and crotchless. I will probably wear that as much as possible at least initially. I will post some pics later

Please join RealSelf or sign in.


28 hour pics

Here are some pics--yukky stained compression garment, gives you an idea of how much fluid is leaked. Breasts are quite red have not turned to bruises yet, they are swollen and a bit hard but still softer than implants. Bruised feeling and sore to touch. I will have no problem concealing them as I think even swollen they will look smaller than implants due to their natural shape. Stomach is quite swollen. Looking forward to clean compression garment


I wish I had known about this before I had my implants replaced on 2/20/14. I'm 63 years old and it was my third set. I hope they out last me, but if they don't, this is great. Thank you for sharing. I will keep following you.
  • Reply
Hi . . . I think you really look good. She did nice work, the shape is perfect. Don't you wish this procedure was around before you decided to get implants. I know I do. Keep posting on your progress.
  • Reply
I do wish it was around before and probably was. I think it has been used for reconstruction for many years, but not as successfully as now. I got implants in 2000. Not as much information, photos on internet then. I had no idea they would be so fake feeling and looking, part of that was my lack of body fat but I would not have gotten them if I knew that would be the result. I am continuing to do well and will post an update later today with some pics

Day 4 Post Op

Things are continuing to go well. I feel better every day. By day 3 I was much more comfortable not as stiff. No longer feel like a 70 year old woman when transitioning between standing and sitting. No pain at all at this point. Lipo sites feel bruised, sore. Breasts have already softened up but feel very tender, delicate like I do not want to jostle them. I am SO happy to be rid of the implants. It is so nice not to have that unnatural pressure against your skin and chest from the hard implants. Especially noticeable when I stretch or reach for something. I feel like me again, no unmovable objects under the skin.
As far as lipo areas, I have two injection marks on my back at underwear line, two hidden under butt crease, two inside belly button, two on my stomach that I hope will fade, one on each outer thigh up high, one on each inner thigh up high. They are small and do not have any stitches. Dr Capek uses a small cannula for the lipo so stitches are not needed. I look like I have lost the 5 pounds I needed to lose- no more tiny pouch on my belly. For bruising-entire breasts are yellowish with a small area of dark bruising on underside. A few light yellow bruises on belly and flank, and some areas of dark bruising on upper outer and inner thighs. Bruising is much less extensive than I expected. Still swelling all around but not too bad. These pictures are 2 days post op. breasts area little larger than what I want but are about a half inch smaller than with the implants and look smaller due to the shape. I know some of this is still swelling so hopefully I will not lose more than 20% or so.


Hi. Could you post some pics of your retainment at this stage? One month is quite crucial to how they will stay do you think? Best of luck.
  • Reply
So glad your doing well. Your results look great so far. I'm a little disappointed with mine. I have already lost a lot of volume :-( They do say after 7 Days you can get an idea of what will remain and an even better idea at the 4week mark. This was a LAST resort for me after spending an ABSOLUTE Forturne over the last 10years...... They are definitely fuller (which was my desire) and after being left with just skin after my implant removal its better than nothing, I just wish they were a little bigger.I just hope I don't loose any more !!! I will continue to follow you and your recovery :-)
  • Reply
Hi GemB How long has it been for you now? How much do you think you have lost? Hopefully you will retain the rest. You definitely look like you have improved fullness and shape in your after pics. That is my worry as well --to spend all this money and have nothing to show for it. I am still doing well. Bruising is starting to fade and soreness going away as well. I have so far lost a half inch in measurement from day 2 which I would guess would be swelling so breasts are holding so far.. Even if I lose 50%, I know I will have still benefited from this. Implants were horrible and ugly and once removed I would have had absolutely nothing and from pics I have seen after removal you end up worse than before you started.

10 days

I am 10 days post op and all is going very well. Only a little soreness, bruised feeling in lipo areas when something presses against them. Have been a bit itchy the last few days but only an irritation. Bruising is much better but still there and getting lighter. Still a little swelling in tummy and flank area. Swelling in breasts is gone and they are soft . I am about a B cup right now and I am very happy with the results Dr. Capek achieved. The perfect size and shape for me. I will be so sad if I lose a lot of volume!! I would love things to stay as they are but I know that is probably unrealistic. Here are the 10 day pics. I will also update Dr. Capek's review at a later time. At this time I am completely happy with the results and care I have received.

Please join RealSelf or sign in.


10 day pictures

here are the 10 day pics


We would love to see how you are doing. Do you have time for photos? I leave tomorrow for my transfer. Getting anxious!
  • Reply
Hello, I will post a quick update with some pics--I will be thinking of you tomorrow and sending best wishes for a successful outcome your way. I hope your recovery is as pain free as mine was.
Please keep us updated with pics! I'm interested in if the fat transfer stays and what size you were pre implants? The surgeon I'm currently looking at doesn't do fat transfer, but is highly recommended for the explant. I could live with B cups, but don't want my A's back. You look fantastic and it's giving me some hope. Thank you!!
  • Reply

3 weeks

All is still well. bruising completely gone. Just in the last few days I would say swelling is gone too. A little loose skin on my belly where fat was removed. going to start some toning exercises for belly, thighs and butt! Breasts have lost some volume this week sadly but I am still VERY happy with how they look. They still measure the same--35" but not as full. Hopefully wont lose any more. At this point they are more than I had prior to children and I would be thrilled if this is how they stay


hello i am almost 7 months post and VERY happy with the results. Fat has remained and results of lipo are great as well, no contour issues or dents. Definitely worth it and would absolutely recommend Dr. Capek
  • Reply
That's awesome! Would you consider adding a 7 mth post op shot? Congrats
Hey, you look great !! how are you feeling now? ......Is there any change in volume ?
  • Reply
Latham Plastic Surgeon

100% happy .Dr. Capek is willing to take the time to answer ALL questions and describe the procedure in detail. Willing to perform using conscious sedation.Her very capable patient coordinator scheduled all of my pre-op appointments. She listened to what I wanted as far as size and shape and was able to give me exactly what I asked for. The surgery itself was as good a process as something like that can be. Excellent care, very little pain and bruising with a fast recovery. Definitely worth it.

5 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
5 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
4 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
5 out of 5 stars Wait times
Was this review helpful? 2 others found this helpful