Explant with mastopexy. Any recommendations? (Photo)

Question

I have 420cc high profile saline mentor smooth subglandular implants that were placed in 2002 with rippling, sagging and mild capsular contraction. From the surgeons I've consulted some just want to deflate in the office, then lift later if needed. Some say en bloc and lift, others can't guarantee total capsulectomy. I am really looking for the best looking outcome. I'm tired of implants and want to be natural but not deformed and flat. Any recommendations?

Richard Baxter, MD · Answer

With little breast tissue and large implants, it is important to not try to do too much all at once. Percutaneous deflation will allow time for the skin to retract and plan for the lift that you will certainly need. Do not do en bloc as it is unnecessary and will leave very little tissue to work with after.

Shaher W. Khan, MD · Answer

I prefer to have my patients explant only and I will close with a psuedo lift at the same time. This way the contour is natural looking. After a years time is when you see how the breast tissue fills out and fluffs. My patients are very happy with their outcome after the fact.

Dhaval M. Patel, MD · Answer

Thank you for sharing your photos and for your questions. From your photos, you are a good candidate for removal of breast implants, breast lift with fat transfer to bilateral breast. Breast lift will elevate & reshape your breast. Fat transfer will give your breast more volume and shape. 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

Camille Cash, MD · Answer

Based on your photos it appears you would benefit most from an en bloc implant removal and breast lift.  An examination would be necessary to determine if you have enough native tissue to reconstruct the breast or if a small implant is indicated.

Thomas Trevisani, MD · Answer

Based on your photos, it appears that you would benefit from Explantation with possible capsulectomy. I'd recommend a waiting period 3-6 months to allow for skin shrinkage to occur. If shrinkage is inadequate - then a breast lift may be indicated

Explant with mastopexy. Any recommendations? (Photo)

Answers (10)

Answer: Explant with mastopexty

Answer: Explant with mastopexty

Answer: Breast Revision

Answer: Breast Revision

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Explant with mastopexy. Any recommendations? (Photo)

Answers (10)

Answer: Explant with mastopexty

Answer: Explant with mastopexty

Answer: Breast Revision

Answer: Breast Revision

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Recommended reading

Everything you need to know about Breast Implant Removal

Our mission is to create a world where every investment in modern beauty is Worth It.