Will re-implanting after several previous surgeries cause any issues and can I still achieve a satisfactory result? (photos)

Thanks for your question. If you have had multiple previous issues with implants then I would suggest avoiding any further implant based surgery. Fat transfer (lipomodelling) may be a good option for you - this is where fat is harvested from another part of you (typically abdomen, loins, thighs), and is used to augment the breast. It can be performed on a daycase basis under general anaesthetic. You may require more than 1 fat grafting procedure, depending upon the result that you are aiming to achieve.

Given your history with implants I'd recommend not going that route again. Fat grafting could improve the volume asymmetry vs. reducing the larger one. There are options - I would seek out a few in person consultations with board certified plastic surgeons to see what the best options would be.

Thank you for your question. I am sorry to hear that you had already several issues leading to multiple surgeries. The challenges for the new procedure depend on the current shape and degree of scarring. An accurate medical history and physical examination will be the only way to determine if surgery has a good chance of success.
All the best

Andrea Marando
Plastic and Cosmetic Surgeon
Manchester, UK

Since you did not have much success with implants you should consider mild corrections and volume enhancement with fat grafts? In person consultation with a board certified plastic surgeon with extensive experience in fat grafting of the breasts is recommended. Good luck

Re-implantation can cause additional complications. From your photograph, it appears your breasts are widely separated and you have contour deformity. You would benefit from scar revision and you may also want to consider fat transfers as an alternative to implants.

Best Wishes,

Gary Horndeski, M.D.

Dear Nice728706,
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

Depending on what the AI condition was that you developed following your implants, and the size you want to achieve, other non implant options could be possible (depending on examination) such as fat transfer to address asymmetry

Hi, thanks for your question. something to consider could be fat transfer to breast(s) as a way of enlarging, addressing asymmetry and avoiding further implants which may (or may not) be related to previous AI condition. This has nice spin off of reducing /reshaping another area eg tum / thighs - to harvest fat from and then this is placed into the breasts. The principle downside of ftx is you can only increase by approx 1 cup size and it is difficult to predict exact size and outcome because some of the transferred fat is reabsorbed.

I would suggest first lifting both and reducing the larger breast to match. If you are not too scarred, then later consider small implants behind the muscles or possibly fat.

Without sounding as non-caring physician, there is little evidence to support auto immune issues as a result of breast implants. Several surgeons have been attacked socially because of this position yet the science, as we currently know, it would suggest other factors that lead to this concern. There is data to suggest that some patients get better after implant removal but this is not always consistent.

It seems to me that you’ve been through quite a bit with your breasts and surgery. You have a tractive yet smaller breasts than desired.

I think the best advice is to leave All well enough alone. Good luck with your decision