Questions What is the earliest from Surgery you can remove implants after subglandular surgery? I have thin skin with moderate elasticity, went from A cup to D cup. Would an uplift be required at the same time as removal? Do I require a capsulectomy because I was given textured implants with risk of ALCL? How bad is scarring likely to be? Will my breasts return to their original size and shape? If surgery undertaken within 1 year of BA. What is the biggest problem with implant removal?
Answer: Explanting after augmentation timeframe Hello, thank you for your questions. You are eligible for explant now, there is no reason to wait for this. Given your age and exam, a lift is not always required at the time of explant. Especially when you could potentially have a contracture. A complete capsule removal is required whether you have smooth or textured implants, be it silicone or saline to ensure you can be at your healthiest after removal. The capsule must be sent out to pathology to rule out BIA-ALCL. In terms of scarring, it is dependent on the patient’s ability to heal, genetics, and nutritional status. Post-operatively the skin along with breast tissue will recoil. It will take up to one year to see full results.
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Answer: Explanting after augmentation timeframe Hello, thank you for your questions. You are eligible for explant now, there is no reason to wait for this. Given your age and exam, a lift is not always required at the time of explant. Especially when you could potentially have a contracture. A complete capsule removal is required whether you have smooth or textured implants, be it silicone or saline to ensure you can be at your healthiest after removal. The capsule must be sent out to pathology to rule out BIA-ALCL. In terms of scarring, it is dependent on the patient’s ability to heal, genetics, and nutritional status. Post-operatively the skin along with breast tissue will recoil. It will take up to one year to see full results.
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March 24, 2023
Answer: Each surgeon has their own preferences Dear BAquestions23, Implants can be removed anytime after augmentation. Your surgeon will most likely do a capsulectomy, use the same scar and use drains. I would advise my patient to take a wait-and-see approach as to whether or not she desires a lift after explant. How your breast skin responds after removing the implants is not predictable. Look at implant removal post-op photos to get an idea.
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March 24, 2023
Answer: Each surgeon has their own preferences Dear BAquestions23, Implants can be removed anytime after augmentation. Your surgeon will most likely do a capsulectomy, use the same scar and use drains. I would advise my patient to take a wait-and-see approach as to whether or not she desires a lift after explant. How your breast skin responds after removing the implants is not predictable. Look at implant removal post-op photos to get an idea.
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March 24, 2023
Answer: How soon after implant placement can I have an explant done? Will I require a lift at the same time? Hello @BAquestions23, thank you for your question. Generally, an explant surgery can be done 12 months after the surgery has taken place. The need for a lift depends on the specialist surgical technique. I always perform an immediate aesthetic reconstruction using the patient's own tissue using the BRALAN Technique (Breast Reconstruction Anatomical Lift Augmentation). Yes, you will need a total capsulectomy. It is important to remove the capsule completely to prevent future inflammatory reactions. The scar depends on the specialist surgical technique I always perform this procedure with an L-shaped incision, which for me is the smallest and most discreet incision possible in a breast explant with breast reconstruction. If you are considering a breast explantation, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. I link a video to shed more light. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).
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March 24, 2023
Answer: How soon after implant placement can I have an explant done? Will I require a lift at the same time? Hello @BAquestions23, thank you for your question. Generally, an explant surgery can be done 12 months after the surgery has taken place. The need for a lift depends on the specialist surgical technique. I always perform an immediate aesthetic reconstruction using the patient's own tissue using the BRALAN Technique (Breast Reconstruction Anatomical Lift Augmentation). Yes, you will need a total capsulectomy. It is important to remove the capsule completely to prevent future inflammatory reactions. The scar depends on the specialist surgical technique I always perform this procedure with an L-shaped incision, which for me is the smallest and most discreet incision possible in a breast explant with breast reconstruction. If you are considering a breast explantation, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. I link a video to shed more light. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).
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March 24, 2023
Answer: Revision surgery Dear BAquestions23,
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March 24, 2023
Answer: Revision surgery Dear BAquestions23,
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March 20, 2023
Answer: Implant removal You can elect to have your implants removed at any time. With good skin elasticity you may be able to avoid a lift, although skin may be a little looser than before augmentation. The smaller the implant, the better the skin elasticity, and the closer to the original augmentation equates to a better chance of not needing a lift. One option is to remove the implants, allow the breasts to heal and then decide if a lift is desired or not. Capsules that are thin and not causing an issue can be removed with the implants or left behind. I encourage you to meet with a board certified plastic surgeon near you to learn more.
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March 20, 2023
Answer: Implant removal You can elect to have your implants removed at any time. With good skin elasticity you may be able to avoid a lift, although skin may be a little looser than before augmentation. The smaller the implant, the better the skin elasticity, and the closer to the original augmentation equates to a better chance of not needing a lift. One option is to remove the implants, allow the breasts to heal and then decide if a lift is desired or not. Capsules that are thin and not causing an issue can be removed with the implants or left behind. I encourage you to meet with a board certified plastic surgeon near you to learn more.
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