Caved in Nipples and Misshapen Breast Post Explant. Please I Need Advice on What I Can Do if Anything?

Hello I am day 13 today post explant.I had compression bandage for 10days. Removal of bandage revealed misshapen breasts and caved in nipples. Surgeon told me to massage now. Is this correct? I am 43yrs old. Had implants of 350cc for 5 years. Both surgeries through the areola. Had CC on R side Grade II for 2 yrs.(my left nipple had scarring post BA but it did correct itself) Post BA i was an AA/A cup.I don’t know what to do. I am using tape and pulling the nipples up.Could this help me?

Doctor Answers 4

Caved in Nipples and Misshapen Breast Post Explant.

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I would continue doing as you are doing so long as your skin tolerates the taping. Unfortunately,  implant removal is rather unpredictable. Other than what you are doing I have no suggestions for the present other than patience for 3 to 6 months at which time if there has been no improvement, your surgeon can discuss the scar revision options. And this can be improved.

Thank you for your question, and for the photos. Best wishes .

Seattle Plastic Surgeon

Post explant

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since the volume behind the breast has been removed this is a pretty normal post operative appearance. You have to allow time for healing.

Norman Bakshandeh, MD, FACS
New York Plastic Surgeon

Concerned about Breast Appearance after Removal of Breast Implants…

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Thank you for the question and pictures.

Although your concerns are understandable, unfortunately there is not much to do at this point other than allow for time  for the skin and tissues to contract. Massage may be helpful.  I do not think that the use of tape will necessarily help.

 Ultimately, it will be best to evaluate the appearance of the breasts  6 months to one year after the removal of the breast implants;  at that point, discuss your concerns (if any) with your plastic surgeon.

Best wishes.


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Wait 3-6 months-- then revision may be necessary.

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It’s not unusual for patients to experience breast distortion following removal of breast implants, especially when severe capsular contractures are present.Under these circumstances, patients are often emotionally devastated by breast distortion and associated loss of breast volume.
When this situation arises in the immediate post-operative period, it can be difficult to know if this distortion is permanent.In some cases, swelling resolves and tissue remodels over the course of three to six months with significant improvement in the aesthetic result.This remodeling can be facilitated with massage and the use of suspensory taping.In other cases, the deformity may be permanent and secondary surgery may be indicated.This may include implant replacement, breast lift, and possibly fat grafting procedures.
If you’re concerned about the appearance of your breasts following implant removal, consultation with your surgeon is appropriate.This surgeon should be able to formulate an appropriate treatment plan.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.