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SIEF/Breast Implant Removal with Fat Transfer?

SIEF37Apr 7, 2024
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?

Answers (1)

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Gary M. Horndeski, MD profile photo
Dr. Gary M. Horndeski, MD
Board Certified Plastic Surgeon
4.6 | 319 Reviews
Answered on Apr 9, 2024
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The breast lift would involve a vertical incision .The internal mesh bra will help raise the breast further, Fat grafting will increase the volume

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Hello and thank you for your question! You hit the nail on the head - minor weight fluctuations of 5+lbs, we would not expect to see any difference in cosmetic surgery/fat grafting results; larger weight fluctuations (10+lbs), in certain patients you may start to notice changes in subcutaneoous...

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Dear RKat78, I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper...

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