Breast explanation and fat transfer to maintain some of the size? (Photo)

Hello @bkbaum, thank you for your question A personalized consultation is needed to make a surgical plan that takes into account your expectations. The removal of breast implants is a complex and specialized procedure that requires a high degree of expertise especially if it's done with mammary reconstruction, which in my opinion gives the best aesthetic result and is the right approach. In this case the incision would be periareolar and inverted J-shaped to avoid making a T. A permanent alternative is to augment the volume of your breast with your own fat. However, it is prudent to wait approximately 3 months after the explant. Take into account that the best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez, MD FACS.

Thank you for sharing your photo and for your questions. From your photos, you are a good candidate fat transfer to bilateral breast. Fat transfer will add upper pole fullness to give your breast more volume and shape. Added bonus is that you get to take the fat from another area(s). Your expectations and health will dictate the best procedure(s) for you. I suggest a consultation with a board certified plastic surgeon to go over the options that best address your goals. Best of luck!

Dhaval Patel MD
Double Board Certified Plastic Surgeon
Chicago
South Barrington
Oakbrook
Orland Park

The technique I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Dear bkbaum,
it is hard to tell for sure without an examination. Generally speaking, most patients are able to get fat transfer after the removal of implants. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thanks for your question. It appears that you will need a breast lift following removal of your implants, even if you decide to have a fat transfer procedure. You will most likely not get the ideal result with only a fat transfer. A viable option may be to switch to a smaller implant and have a breast lift.
Best of luck!

If you plan to loose weight, do so first. If you just want to remove your implants, do so. You can have some fat transferred, but it may not be the same volume as your implants.

I encourage you to visit with a board certified plastic surgeon near you to discuss your options. Fat transfer has benefits and risks that need to be discussed before making your decision. A smaller implant may be a good option for you.

I feel you’re a good candidate for both the Explantation and lollipop mastopexy. Fat may be transferred at the same time. Just realize that most patients only get 1/2 size increase with a fat transfer.