Hi, I’m 26 years old - no children. I’ve had 325cc high profile textured implants under muscle placed 4 years ago, I feel like they don’t suit my frame and feel a little too big for me. For past 2 years I feel i my posture has been so bad because they feel uncomfortable sleeping or when exercising. Some surgeons advise leaving capsule in, others say I might need muscle repair. How will my breast look after? I’m terrified
Answer: Explantation to address several concerns. Thank you for your photos. First, if you don’t feel your implants fit your frame then removing them will correct that. If you have not put on weight since your augmentation, removal of your implants should return your breasts to their appearance before your augmentation. At 26 years of age, your skin has excellent elasticity and should snap back to it’s prior contour. Although rare, textured implants are associated with a very rare type of tumor, called anaplastic large cell lymphoma, and removal should eliminate any concern of that in the future. The current recommendations from the American Society Of Plastic Surgery is that, unless there is a high degree of capsular contracture and calcification of the capsule, removal of the capsule is of no benefit and is unnecessary. I don’t have the benefit of an examination so I can’t speak to whether you would need a repair of your pectoral muscle or not. A review of your prior operative note would tell if your prior surgeon divided your muscle or not. So to summarize, removal of your implants, without the need to remove your capsule, and the possibility of a small repair of your muscle should return you to your preoperative appearance. Best wishes.
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Answer: Explantation to address several concerns. Thank you for your photos. First, if you don’t feel your implants fit your frame then removing them will correct that. If you have not put on weight since your augmentation, removal of your implants should return your breasts to their appearance before your augmentation. At 26 years of age, your skin has excellent elasticity and should snap back to it’s prior contour. Although rare, textured implants are associated with a very rare type of tumor, called anaplastic large cell lymphoma, and removal should eliminate any concern of that in the future. The current recommendations from the American Society Of Plastic Surgery is that, unless there is a high degree of capsular contracture and calcification of the capsule, removal of the capsule is of no benefit and is unnecessary. I don’t have the benefit of an examination so I can’t speak to whether you would need a repair of your pectoral muscle or not. A review of your prior operative note would tell if your prior surgeon divided your muscle or not. So to summarize, removal of your implants, without the need to remove your capsule, and the possibility of a small repair of your muscle should return you to your preoperative appearance. Best wishes.
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November 15, 2024
Answer: Breast implant removal Dear wowowi, it is hard to tell for sure without an examination. Generally speaking, if your capsules are thin there is no need for their removal. 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
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November 15, 2024
Answer: Breast implant removal Dear wowowi, it is hard to tell for sure without an examination. Generally speaking, if your capsules are thin there is no need for their removal. 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
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November 6, 2024
Answer: Implant removal If your capsules are thickened or are causing issues they should be removed along with the implants. If they are thin you can elect to remove just the implants and leave the capsules behind. You will lose the volume of the implants and have some loose skin after surgery. You will have some degree of skin retraction, which will be aided by the fact that you are young and have moderately sized implants. One option if you like implants, but don't want them as large is to exchange them for a size that you feel better matches your frame.
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November 6, 2024
Answer: Implant removal If your capsules are thickened or are causing issues they should be removed along with the implants. If they are thin you can elect to remove just the implants and leave the capsules behind. You will lose the volume of the implants and have some loose skin after surgery. You will have some degree of skin retraction, which will be aided by the fact that you are young and have moderately sized implants. One option if you like implants, but don't want them as large is to exchange them for a size that you feel better matches your frame.
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November 4, 2024
Answer: Advice Hello, thank you for your questions. It's completely understandable to feel anxious about the prospect of undergoing surgery, especially when it involves your body and aesthetics. Let’s break down your concerns regarding your breast implants, potential surgery options, and what to expect in terms of appearance and recovery in the attached video. Deciding to undergo breast surgery is a personal choice that requires careful consideration and planning. It’s important to weigh the pros and cons, seek professional advice, and choose a surgeon you trust. Your comfort and confidence in your body are paramount, and with the right approach, you can achieve a result that aligns with your goals while addressing the discomfort you’ve experienced. Take your time to make the best decision for yourself, and know that you’re not alone in this journey!
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November 4, 2024
Answer: Advice Hello, thank you for your questions. It's completely understandable to feel anxious about the prospect of undergoing surgery, especially when it involves your body and aesthetics. Let’s break down your concerns regarding your breast implants, potential surgery options, and what to expect in terms of appearance and recovery in the attached video. Deciding to undergo breast surgery is a personal choice that requires careful consideration and planning. It’s important to weigh the pros and cons, seek professional advice, and choose a surgeon you trust. Your comfort and confidence in your body are paramount, and with the right approach, you can achieve a result that aligns with your goals while addressing the discomfort you’ve experienced. Take your time to make the best decision for yourself, and know that you’re not alone in this journey!
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October 28, 2024
Answer: Implant removal, donut mastopexy and fat transfers 325 cc implants are about an average size. However, after removal, your skin will hang. An alternative to consider is doing fat transfers at the same time with a donut mastopexy. The donut mastopexy can take care of the excess skin and the fat transfers will give more volume. In your pre-op photograph, you look like you were asymmetrical in volume. One side will need more volume than the other. Best Wishes, Gary Horndeski, M.D.
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October 28, 2024
Answer: Implant removal, donut mastopexy and fat transfers 325 cc implants are about an average size. However, after removal, your skin will hang. An alternative to consider is doing fat transfers at the same time with a donut mastopexy. The donut mastopexy can take care of the excess skin and the fat transfers will give more volume. In your pre-op photograph, you look like you were asymmetrical in volume. One side will need more volume than the other. Best Wishes, Gary Horndeski, M.D.
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