SIEF/Breast Implant Removal with Fat Transfer?

Question

I've had saline implants under-muscle since '07 to correct asymmetric A/AA breasts. My breasts look great, but I worry that my autoimmune issues could be caused by BII. 1. Is an En Bloc capsulectomy recommended with possible BII? Pros & cons? 2. Pros & cons of simultaneous implant exchange w/fat vs transfer after 6-12 mths? 3. Would fat be transferred under the skin or in empty space left under the muscle? 4. Is breast lift also recommended? Effect on appearance & recovery?

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided photographs or told us your current bra size.  You may need explantation and lift using 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 (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.

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