Not enough breast tissue for uplift after implant removal - what are my options?

Question

I have requested implant removal because I am unhappy with the fake stuck on look results. My surgeon says that if they are removed I will just be left with sagging skin and I do not have enough breast tissue for an uplift. This made me so sad and I want to know if there are there alternative options for me. I do not want revision and implants again.

Thomas Trevisani, MD · Answer

Once the implants are out-  and healing occurs- your breasts will most likely return to the pre-op condition similar to the posted pre- surgery photo.

Randal Haworth, MD, FACS · Answer

If you are unhappy with the appearance of your breast implants and want them removed, but do not have enough breast tissue for a breast lift, there are alternative options available to you. One option is fat transfer to the breasts, also known as autologous fat grafting. This procedure involves removing fat from another part of your body (such as the abdomen or thighs) and injecting it into the breasts to create a fuller, more natural look. Fat transfer can be a good option for women who are looking for a more subtle enhancement and who do not want to have implants.

Another option is to have a small implant placed in order to help give the breast tissue some support and prevent sagging. This implant can be much smaller than the previous implants, and can be placed using a minimally invasive technique.

It's important to discuss these options with a board-certified plastic surgeon who specializes in breast surgery. They can evaluate your individual situation and recommend the best course of action to achieve your desired results. They may also be able to recommend non-surgical options, such as skin tightening procedures, that can help improve the appearance of the breasts without surgery.

I hope this helps,
best of luck !

Robert M. Wald, Jr., MD · Answer

If the picture on the left are your preoperative photographs, in my opinion, there is enough tissue for a breast lift. I would suggest an anchor mastopexy. If you want more fullness, fat grafting could also be performed. You must be able to accept the scars around the areola and vertically down the middle of your breast.

Gary M. Horndeski, MD · Answer

In your before photograph, your breasts were low on the chest wall and you did have some breast tissue. At this time, I recommend explantation and mini lift. Using a circumareola incision, the implants are removed, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Anna Steve, MD · Answer

An option for women who want implants removed and not replaced is to replace some volume with fat transfer to the breast. Fat transfer to the breast in these cases is often combined with a breast lift to tighten loose skin and improve nipple position,

Wess Cohen, MD · Answer

Thank you for your question. After removal of your implants, you will have excess skin that would benefit from tightening. There there will be enough tissue for a small left, especially because your skin has been stretched out, and some of that tissue can be reused for the lift. However, you will be dramatically smaller. It does not appear that you have enough fat to undergo a fat transfer. Your other option is to place a significantly smaller implant partially under your muscle to give more volume but I’m more muted augmented look. Good luck.

Connie Hiers, MD, FACS · Answer

You could have the removal and the minimally invasive radiofrequency skin tightening like Renuvion or ThermiTight to give a safe lifting.

Shana Kalaria, MD · Answer

I would recommend removal of your implants and auto augmentation with your own breast tissue along with a breast lift. After having large implants your skin will sag and you will be left with extra skin compared to your pre-op photo. This means you are a candidate for a breast lift. Please visit with a board certified plastic surgeon and look at before and after photos. Good luck!

Camille Cash, MD · Answer

When performing a lift there needs to be enough breast tissue present to form a nice breast shape.  Without  that you could consider a smaller, low profile implant or fat grafting.  From your photos you appear to be thin framed and may not be a good candidate for fat transfer.

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