Can you have capsule removal, breast lift and fat grafting at the same time in one surgery?

In my practice, many patients do elect to have a breast lift when undergoing breast explant surgery. I do recommend waiting at least 6 months post explant surgery before having a fat graft to the breast. That allows for adequate healing time, increased patient safely, and a greater probability for a successful transfer.

Hello thank you for your question. Fat grafting is not advised, given the risks for fat necrosis. It is malpractice to do fat grafting because 30-50% of the fat will inevitably die and form clumps of dead fat that may hurt and cause unnecessary pain and worry with self monthly breast exams. It is not advised to have implant and capsule removed at the same time as a lift. There are many risks associated with having both of these procedures done at the same time, including but not limited to, nipple necrosis and risks with anesthesia.

Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction.

Best,
Dr. Karamanoukian
Realself100 Surgeon