Hello. I have extracapsular ruptures of 19 year old implants which need removing so considering myoptions. Not keen on the idea of new implants but also don’t want to lose my size. I had seen the idea online of removal combined with lipo which sounded quite appealing but I had a cconsultation with a consultant who advised that patients are often unhappy with the results as 1 litre of fat reduces down to an average of about 250ml between the 2 breasts. Is this standard industry advice please?
January 23, 2024
Answer: Implant removal with lipo? Hello @Kat_99999, thank you for your question! Everything depends on the surgical technique of the specialist performing surgery. Remember that any kind of explant must be complete, that is, the surgeon must remove the whole capsule out. Complete capsulectomy. Also it would be necessary to carry out a preventive biopsy on each capsule. In any case, I do not perform breast fat transfer during a breast implant removal procedure because for me, the breast explant must be performed with a breast reconstruction in which the mammary tissue is placed adequately in place again. If the fat seeding is done at the same time, it might get infected or die; there is no guarantee that the seeding will stick. with breast fat transfer is posible to go up one size. If you are considering a breast explantation, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. 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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January 23, 2024
Answer: Implant removal with lipo? Hello @Kat_99999, thank you for your question! Everything depends on the surgical technique of the specialist performing surgery. Remember that any kind of explant must be complete, that is, the surgeon must remove the whole capsule out. Complete capsulectomy. Also it would be necessary to carry out a preventive biopsy on each capsule. In any case, I do not perform breast fat transfer during a breast implant removal procedure because for me, the breast explant must be performed with a breast reconstruction in which the mammary tissue is placed adequately in place again. If the fat seeding is done at the same time, it might get infected or die; there is no guarantee that the seeding will stick. with breast fat transfer is posible to go up one size. If you are considering a breast explantation, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. 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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August 21, 2023
Answer: Fat transfer When considering fat transfer it is important to understand the risks and benefits. When fat is removed from one area the fat must be spun down before it is grafted to another area. This volume grafted is quite reduced from the volume harvested. In addition not all fat in the grafted area will "take" which can lead to asymmetries. It's best to look at all options as well as the pros and cons of each before making a final decision.
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August 21, 2023
Answer: Fat transfer When considering fat transfer it is important to understand the risks and benefits. When fat is removed from one area the fat must be spun down before it is grafted to another area. This volume grafted is quite reduced from the volume harvested. In addition not all fat in the grafted area will "take" which can lead to asymmetries. It's best to look at all options as well as the pros and cons of each before making a final decision.
Helpful