Executive Plastic Surgery PLLC.

Hello, thank you for your question. It’s completely understandable to feel apprehensive about the outcome after breast implant removal, especially when it comes to the potential changes in appearance. Since you’ve had saline implants for 20 years and are seeking removal without a lift, there are several factors to consider regarding what to expect. Please see the attached video that answers your question in detail. Continue to have open discussions with your surgeon about your concerns regarding the appearance after removal. They can provide more specific insight based on your anatomy and help you come up with the best approach that fits your needs and budget. Best of luck with your decision, and remember that every woman's experience and results are unique!

Hello, thank you for your question. It is completely understandable to have concerns or questions regarding the long-term effects of your breast augmentation, especially if you were not fully aware of the muscle manipulation that occurred during the original surgery. In the attached video I explain muscle repair and reattachment and answer your questions/concerns. Consulting with a highly skilled plastic surgeon who understands your history and unique anatomy is crucial in deciding the best approach for your explant surgery. They can help assess the need for muscle repair and advise on what would provide the best outcome both functionally and aesthetically.

Hello, thank you for your question. It sounds like you’ve been through a complex series of procedures related to your breast augmentation and subsequent complications, such as symmastia. The lingering pain and the issue with skin underneath your breasts or near the sternum are definitely concerns that need to be addressed. Please see the attached videos to discuss your concerns. I recommend to consult with a couple of board-certified plastic surgeons that will tailor your goals and treatment plan.

Hello, thank you for your question. It looks like you are possibly experiencing some post-explant complications that may be related to scar tissue, adhesions, or residual effects from the implant surgery, particularly given the symmastia revision and the fact that the capsule was not removed during explant. Please see the attached video that discusses your question in detail. I recommend consulting with a plastic surgeon who specializes in breast revision surgery, scar tissue massage or physical therapy might also help in some cases to release tension in the muscles or skin. A capsulectomy could alleviate the pain and improve the contour.

Hello, thank you for your question. Explanting (removal of breast implants) will likely cause some noticeable changes to your breasts, but how dramatic the changes are will depend on several factors. Based on your description of having saline implants with mild capsular contracture, I have discussed possibilities in the attached video. Please view this. If you’re concerned about the potential outcomes (such as sagging or a significant reduction in volume), options like a breast lift or fat transfer after explanting might be worth discussing with your surgeon to help restore shape or volume. A consultation with a board-certified plastic surgeon who can assess your breast tissue, current breast shape, and desired outcome is crucial to determine the best plan for you. Lastly, be patient with the process of recovery as the tissue and skin may need time to adjust to the new, post-explant shape.