Can skin tightening procedures work for me after big implant explant (A to D)?

Question

Implant removal - skin tightening procedures UK. I want implant removal due to fake stuck on look subglandular placement. Surgeon gave me 300cc high profile (because I have low nipple) but I asked for natural look. Went from A cup to D cup. I do NOT WANT IMPLANTS again and would like to return to natural breast only. I am too slim for fat transfer and results don’t sound promising. My surgeon told me not enough tissue for uplift and will be left with sagging skin.

Randal Haworth, MD, FACS · Answer

If you are unable to have a breast lift or fat transfer procedure, there may still be non-surgical skin tightening options available to improve the appearance of your breasts after implant explant surgery.

One non-surgical option is radiofrequency (RF) skin tightening, which uses heat to stimulate collagen production and tighten the skin. This can be done with devices such as Thermage or EndyMed, which deliver RF energy to the skin through a handpiece. The procedure is minimally invasive and requires little to no downtime, but may require multiple sessions to achieve optimal results.

Another non-surgical option is ultrasound skin tightening, which uses ultrasound energy to heat the skin and stimulate collagen production. This can be done with devices such as Ultherapy, which deliver ultrasound energy to the skin through a handpiece. The procedure is also minimally invasive and requires little to no downtime, but may require multiple sessions to achieve optimal results.

It's important to have a consultation with a qualified and experienced practitioner to evaluate your individual situation and recommend the best course of action for you. They will be able to discuss the potential risks and benefits of the procedure, as well as any alternative options that may be available.

Best of luck !

Alan Gonzalez, MD, FACS · Answer

Hello @BAquestions23, thank you for your question. If you prefer a non-surgical option after implant removal, microneedling or protocols that use that combines radiofrequency and robotic microneedle to improve the quality and appearance of their skin and it can work on breast. This technology delivers energy to the skin's different layers without causing damage or disruption at the surface level, promoting collagen and elastin production while achieving subtle results. The result is a subtle but is an option if you decide to go this route. Alternatively, your could also return to a natural breast and have an adequate breast shape with breast explant and immediate reconstruction with the BRALAN technique (Breast Reconstruction Anatomical Lift Augmentation) This technique involves using your own tissue to reconstruct the breast and lift it to to provide a natural and lifted appearance. 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).

Daniel Barrett, MD · Answer

Dear BAquestions23,
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

Zoran Potparic, MD · Answer

There will be significant laxity of the breast envelope after implant removal; for that reason skin excision and tightening by means of breast lift will be necesarry to achive firmer breasts. In order to achieve some volume increase, fat grafts can be placed in the muscle and under the skin which will increase volume and improve overall shape of the breasts; if needed, additional fat grafting can be done 6 months or longer after first procedure. Hope this helps. Good luck.

Ahmad H. Ahmadi, MD · Answer

A moderate profile implant under the muscle will give a more natural look.  Because of the paucity of breast tissue, you are a better candidate for ‘gummy’ silicone implants than a saline implant.  Regardless, You should have a board-certified plastic surgeon examine you for further recommendations.

Camille Cash, MD · Answer

Skin tightening procedures work best on skin that has good elasticity.  Once your implants are removed your skin will retract on its own to some degree.  Factors that will influence this will be the length of time the implants were in place, your skin elasticity, and the size of the implants.  If the skin has been permanently stretched your best and most predictable option is a lift.

Connie Hiers, MD, FACS · Answer

You could achieve some tightening and improvement with radiofrequency treatments like ThermiTight or Renuvion, but it will not be a complete lift. However, it would be safe.

Can skin tightening procedures work for me after big implant explant (A to D)?

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