Can I re-implant breast implants, 2 years after explant with a nice result?

Question

2 yrs after removing perfectly fine silicone implants due to them being too large and a anxiety about silicone I had , I'd love to have smaller saline implants again. My explant doctor sutured my muscle back to chest wall. Can I receive a nice result again? I removed 500cc and would like the new implants around 225cc, I'm a very small women with deflated double AA's now.

George Bitar, MD · Answer

Thank you for your. Question.  It is possible to still get a nice result in your situation.  The procedure will be a bit more challenging for the surgeon due to scarring, but the recovery will be the same for you.

Jeffrey E. Schreiber, MD, FACS · Answer

It's hard to say without seeing you in person, but I have successfully placed implants in breasts that have been explanted for several years.

Camille Cash, MD · Answer

Yes you can have breast augmentation again.  Your surgeon will examine you to determine if the skin is stretched out to a degree that a lift is needed as well or if the implant you are considering will suffice.  I've included a video I hope you find helpful.

Paul J. Leahy, MD · Answer

You can certainly consider re-implantation using the implant of your choice. I would encourage you to be sure of the implant size/volume that you desire. It would be worthwhile meeting with more than one surgeon as well. The question in your case will be how much excess skin do you have after removing the larger implants. It is possible that you might benefit from a breast lift (mastopexy) as well? Good luck to you.

Tom J. Pousti, MD · Answer

Generally speaking, re augmentation surgery should not be a problem. However, much will depend on your physical examination when it comes to accurate/specific advice. My best suggestion: seek consultation with board-certified plastic surgeons who can demonstrate significant experience achieving the types of outcomes you will be pleased with. Then, communicate your goals carefully. In my practice, the use of goal photographs, as opposed to arbitrary terms such as "natural" or "C or D cup" are most helpful. Best wishes for an outcome that you will be very pleased with.

George Commons, MD (retired) · Answer

You are wise to choose smaller implants.  The bigger the implant the bigger the problems.  Sop go for the saline in the mid 20-0 range.  This is fine.   500s are enormous implants.  You made a good decision.   Pictures would help us.   My Best,  Dr C

Alan M. Engler, MD, FACS (retired) · Answer

Yes, you can.In general, it is not only possible but often desirable to have implants reinserted even after they've been removed.  Many women decide to remove their implants (for a variety of reasons) and then realize that they would like to have some volume; even if not as much as they had before.  There may be some scarring and distortion of the anatomy from the previous surgeries (at least two - one to insert them, a second to remove them) but it should still be possible.  You may want to consider textured implants, which I often recommend when putting smaller implants into what had been a larger pocket.One option is to have smaller implants inserted (than were previously in place).  Another, particularly for someone who has enough donor sites and only wants a small enlargement, is fat grafting.But for someone like you - "a very small woman with deflated AA's" - the insertion of smaller implants may be exactly the right thing.I hope that this helps and good luck,Dr. Alan EnglerMember of #RealSelf100@RealSelf

Susan Kolb, MD - Account Suspended · Answer

There should be no problem with reimplantation of smooth saline implants if you avoid mold.  For problems associated with implants, see the material online.

Can I re-implant breast implants, 2 years after explant with a nice result?

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More Breast Implant Removal Questions

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