Could sutures from internal stitches come undone?

Thank you for the question and pictures.

I understand your concerns;  you face a very personal and difficult decision. Most likely, given the size of the breast implants  involved,  you will not be pleased with the results of surgery once they are removed. Although this is not universally true, most young ladies wish to have some volume/fullness…

 On the other hand, I understand your concerns about capsulorraphy and the use of small breast implants;  the more complicated the operation,  the greater the chance that further surgery will be necessary in the future. Certainly, you can depend on the fact that additional surgery will be necessary in your lifetime if you choose to re-augment your breasts. If you do decide to proceed with downsizing of breast implants and capsulorraphy, make sure you select a plastic surgeon who can demonstrate significant experience helping patients in your situation.

 Ultimately, as I mentioned above, this will be a very personal decision that only you can make after asking yourself whether you will be pleased with the relative paucity of fullness and the presence of some loose/empty skin on the chest wall.

 Best wishes as you consider the options.

Breast volume and skin tone can affect the look of your breasts.  If the volume is removed, the question is whether the skin will follow in terms of bouncing back to its pre-surgery state.  As the implants get larger and the length of time that you have the implants gets longer, the skin becomes less and less likely to bounce back.

There is always a chance of the internal stitches coming apart however this is not very likely. It is impossible to predict outcomes with any great certainty.