Severe window shading deformity - Is an explant and lift my best option? (photo)

Question

I have had 2 breast revision surgeries, and my current implants are 400 cc silicone submuscular implants with a strattice sling. The implants can be seen and felt in the lower pole of my breast with no overlying breast tissue, and when I flex it seems my muscle and tissue just bunch up at the top of the implant. All I want is aesthetically pleasing breasts. Is explant and lift my best hope for achieving that?

Gary M. Horndeski, MD · Answer

You are correct, explant and lift is your best option.  The technique I recommend is The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained, if not injured during your previous surgery.  At the same time or later, fat transfers can be performed if additional volume is desired.Best Wishes,Gary Horndeski, M.D.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs and I am sorry to hear of your difficulties following revision great surgery.  The best treatment can only be determined based on your ultimate breast goals.  In addition to your mentioned issues you also have excess breast skin that would benefit from a lift procedure.  The best options would include either implant removal and a lift, or conversion of the implant to above your chest muscle and a lift.  I would recommend seeing a series of board certified plastic surgeons who can perform an in-person evaluation of your implants and breast tissues to offer the best recommendations.

Trevor M. Born, MD · Answer

Dear iminarichThank you for your questions and photos!  You have a few options - remove implant , and replace with implant on top of the muscle with a lift , or , no implant - and just lift .  You may add fat grafting to help shape the breast.With Warm RegardsTrevor M Born MD

Karol A. Gutowski, MD, FACS · Answer

Your best option may be to place the implants above the muscle to eliminate the window shade problem.

Erica Anderson, MD · Answer

For your best result, a lift is needed. If you are bothered by being able to feel the implant, then you should explant them. You are thin so you will always be able to feel them. If you are bothered by the animation deformity, change the implants to a shaped implant and they can be placed in the prepectoral space and your muscle can be returned to the chest wall. A combination approach would be best but ultimately it depends on your goals and what you will be happy with.

Severe window shading deformity - Is an explant and lift my best option? (photo)

Answers (5)

Answer: Severe window shading deformity - Is an explant and lift my best option?

Answer: Severe window shading deformity - Is an explant and lift my best option?

Answer: Breast Revision

Answer: Breast Revision

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Everything you need to know about Breast Implant Removal

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Severe window shading deformity - Is an explant and lift my best option? (photo)

Answers (5)

Answer: Severe window shading deformity - Is an explant and lift my best option?

Answer: Severe window shading deformity - Is an explant and lift my best option?

Answer: Breast Revision

Answer: Breast Revision

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Recommended reading

Everything you need to know about Breast Implant Removal

Our mission is to create a world where every investment in modern beauty is Worth It.