Significant increase in breast size post aug & need advice on implant removal (Photos)

Thanks for your question and the photos you provided. My answer is limited because I was not able to exmine you myself. However, I would recommend implant removal and breast lift to assist with your neck/back pain. When your implants and smaller and not hanging, your pain should improve.

Hello @Cute77453, thank you for your question. I suggest you have a breast explant taking out the capsule as well and have a breast reconstruction because taking out the volume that the prosthesis gave will require repositioning of the tissue. In this way, you would achieve an aesthetic result you would be happy with. Due to the experience of so many explantation surgeries practiced in these 21 years I consider that the L-shaped incision is the minimum and smallest scar possible in this surgery. Is important that you consult with several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

A good option would be an explant with a lift. The lift can be a vertical lift to limit scars. Additional breast tissue can also be removed to obtain a smaller size than with just the explant.

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.

Thank you for sharing your question and photographs. Based on your narrative I would advocate implant removal and a breast reduction to offload the weight from your neck and to achieve an improved, smaller overall appearance.

Dear Cute77453,
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

An examination is needed to see if jus the explant will work, or if you actually need a reduction to decrease you down to a comfortable size. With 350 cc implants, you gained about 2 cups in size. Just looking at your photos, I think you should also have a reduction. You could just have the implants removed, and later reduce if you want to go smaller.

You can elect to have the implants removed at any time. Based on your photos you will likely need a lift done as well to remove excess skin and raise the position of the nipple. I encourage you to discuss your goals for surgery with your board certified plastic surgeon, including your desired breast size. The breasts can be reduced at the time of implant removal if desired.

Hello, thanks for your question and photo. You can have a revision extracting your breast implants to get your desired size, with or without new implants. Mastopexy can help you to repair extra skin and to get the best shape. Consult a board-certified plastic surgeon in your area. Good luck!

There is no reason your original plastic surgeon could not have simply lifted your breasts instead of placing breast implants. Your breasts are large and ptotic, and your back and figure will probably look much better with implant removal and a lift. The downside is that you will have a lollipop scar on your breasts, but you will be changing shape for scar. I do not think your breasts will be too big after explantation, but I always ask my patients to bring me photos of their ideal breasts so that we are on the same page with regard to size and shape. I place these photos on the operating room wall so that I can get as close as possible to what the patient wants for her body. You should ask you plastic surgeon if he or she can do the same. In sum, implant removal with complete en bloc capsulectomies and bilateral mastopexies sounds like the perfect procedure for you!