David Rankin, MD

It is not unreasonable to use this scar. The scars are very small with fat grafting and personally I usually use multiple access points. Good luck with your procedure.

I would try to avoid your nipple if possible as it may cause some irritation. There are various methods of scar treatments and what works for one person does not for another. You can try Mederma or massage with Vitamin E oil. You can also switch up any of these treatments. If the scar remains raised, you may need to get a scar revision or a small amount of steroid injection. Good luck.

For my patients, 6 weeks is the magic number after facelift to resume normal activities. You can pretty much resume your normal lifestyle at that point.

Steroids can work great for scars but sometimes can make them worse which, unfortunately happened to you. I would recommend removing this portion of the scar and re-stitching. You can then try some silicone tapes post surgery to try to avoid this from happening again.

If you do decide to begin with your arms you would benefit from a brachioplasty. The incision is kept inside your upper arm so that when your arms are at your side it is hidden. Congrats on the weight loss! Best of luck with your health journey!

It is common to have abdominal laxity below the belly button after pregnancy. These muscles can be tightened with a small horizontal incision similar to a C-section scar. The scar can be very low and hidden and the muscles tightened back into place.

Hi. generally speaking, your aesthetic result will depend on how much breast tissue you have, size of implants (which we know), nipple/areola position, etc. It would be best to get a consultation with a plastic surgeon who specializes in breast explants. Until, you are seen in person it is difficult to have a realistic expectation. It is true that a great lift may limit your ability to breast feed in the future. Good luck with your decision.

Results will depend on size of implants (which we know), how much breast tissue you have, current position of your nipple/areolas, and skin quality. Having a consultation with a board certified plastic surgeon who does a lot of explanting would be the best step. You can check my instagram at DavidRankinMD for some before and afters and I'm also happy to consult with you and give you my opinion.

The most important thing is to go to a Doctor with experience in doing explant surgery. The intracapsular rupture side can be visualized during surgery to see if all silicone is removed. However, when there is a severe extracapsular rupture sometimes the silicone can migrate into breast tissue itself. An MRI can often confirm this and this would be the best study to get after surgery if you wanted to check for silicone in the tissues.

Those are great questions. In my practice, often patients elect to have breast explant surgery with a breast lift. For those patients who choose to do a fat transfer, I recommend waiting at least six months postop. That allows for adequate healing time, increased patient safety, and a higher likelihood of a successful transfer. I hope this information helps. Best of luck on your journey.