What would fix an inverted nipple and pocket collapse after explant?

Hi @NikkiR, thanks for your question. My opinion is that breast implant removal should be combined with immediate breast augmentation to reposition the breast tissue. However, it is important that you have a total capsulectomy. It is important to note that after implant removal, the skin and tissues of the breast may be stretched or sagging, which can result in a less-than-ideal appearance.

If you decide to undergo a lift, the most optimal and aesthetically appropriate option would be immediate reconstruction with the BRALAN technique (Breast Reconstruction Anatomical Lift Augmentation) combined with a breast lift to provide a natural and lifted appearance. I link you to a video that sheds more light on the subject. If you are considering breast augmentation, consultation with a plastic surgeon experienced in this procedure is essential to ensure optimal results. Best regards.

Alan Gonzalez MD, FACS. Member of the American Society of Plastic Surgery (ASPS), Member of the International Federation for Adipose Therapeutics and Science" (IFATS), Member of the Colombian Society of Plastic Surgery (SCCP).

Hello, thank you for your question. It sounds like you are considering significant changes to your breast structure with explantation of your textured implants. Please see the attached video that answers your question specifically in detail. Choosing to remove textured implants and considering a lift is a significant decision. If you decide to proceed with an explant only, be mindful of the potential for changes in breast appearance. If pocket collapse or nipple inversion occurs, a full anchor lift can be a corrective solution. Thoroughly discuss all of your options, concerns, and desired outcomes with your plastic surgeon to develop a tailored approach that suits your needs.

Dear Nikki R,
it is hard to tell for sure without an examination. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

The issues with excess skin and loss of breast volume can lead to deformities like the one you are describing. A breast lift removes excess skin and also lifts and shapes the breast. Another option is a fat transfer where your own fat is used to replace some of the missing implant volume.

The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fulness, 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.

Best Wishes,

Gary Horndeski, M.D.

A lift removes excess skin and reshapes the breast. This can often be performed at the time of explant. Most patients who undergo implant removal alone do so without significant deformities. It is important to note that if you have larger implants, current skin laxity, and/or the implants have been in for several years that the skin envelope will be permanently stretched. This is why many patients opt to have the lift at the same time.

The pocket will collapse, and the nipple may or may not evert once the implant is removed. A lift may help correct the pocket. If needed, fat can be transferred to add more volume. However, fat is not placed in the area of the implant, so it does not expand the pocket. Your breasts will not look like they did prior to surgery because of stretching all the tissue.

Without including pictures, we can begin to make an assessment. Removing your implants with capsules if you have them, should not necessarily cause a deformity.
I suggest you follow up with your plastic surgeon or have multiple in person consultations with plastic surgeons in your community to get an assessment and better understanding of treatment options.
Best,
Mats Hagstrom, MD