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.

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.

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.