Bottomed out breast, want removal. Is it too early to get an explant at 1 year post-op?

Hi, thank you for sharing your question. The decision to remove an implant can be made at any time after the surgery and being one year post-op is not too early. You will likely have some sagging along with deflation once the implants are removed.

The technique I recommend is 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.

Hello Dear @Sociable774846 I appreciate your question. The decision to get the implants remove does not depend on the time of implantation, it depends if the patient feels confortable with the results. It is important to make a surgical plan and in that plan consider the option of breast fat transfer. The best course of action is to consult one or several board certified plastic surgeons for more information and recommendations. Best wishes! Alan Gonzalez MD FACS

Dear Sociable774846,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello,
And thank you for the question.
Implants can be removed at any point.
Following removal of breast implants without replacement, a patient may choose one of two options: do nothing and see how much the skin retracts and then decide about fat grafting or breast lift at a later point, or undergo a breast lift and fat grafting at the same time.
If you had small cup size breasts prior to undergoing breast augmentation, the breast volume and size will be similar after removing the breast implants, and the breasts may look more droopy (due to thinning of the tissues from the weight of implants).
If the breast capsules are soft without any issues or evidence of capsular contracture, it is safe to just remove the implants without performing capsulectomy.
Full mastopexy (breast lift) which will put your nipples into the correct position, make the areola smaller and allow excess skin to be taken away, giving you a more youthful and lifted breast appearance. Some people are a little apprehensive to the full breast lift due to the scars (lollipop or anchor), but typically they do very well and scars fade over time.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast surgeries to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.
I hope this helps.
Best, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

No, you can remove your implants any time you want. Since you have bottomed out at just a year's time, I suspect you have large heavy implants that have sagged from the weight. Large implants have also stretched your tissue, so yes, there will be sagging. You might consider exchanging these for something also and tighten the lower pockets. do remember, you were not happy with your breasts before implants and may not be happy once removed.

Since you are one year out from surgery, the removal should be safe and reasonable, but a full consultation would be necessary to evaluate and plan your surgery. There are many variables to how the final result should look. I recommend you work with a Board Certified Plastic Surgeon.

Hi dear,
To perform a surgical process it is necessary that a minimum of 6 months pass, you have a year you can do it you need to be evaluated with photos to be able to determine if your breasts will be sagging after the extraction of the implant and if they are going to be sagging, you can have a breast lift in the same surgery.

You can have your implants removed at any time. There is no minimum amount of wait time after augmentation before you are eligible for removal. An examination is needed to let you know what you can expect in terms of results after explant.