What should I expect with breast implant removal?

Question

Hello Dr's, Back story: 700cc implants placed periareolar incision (botched), and then removed 3-4 years later and replaced with current implants, 350cc by a different surgeon. Silicone, smooth, natrelle, and under the muscle. Is it possible to get back to my pre op state, or relatively close? Should I be at a lower/higher weight for surgery? (Ex. lose 5lbs) Would that make a difference? Suggestions or advice is appreciated. Thank you

Kenneth Hughes, MD · Answer

The smaller the implant and the shorter the amount of time it has been since placement, the greater the chance the breasts will return to their preoperative state. It is very difficult to predict breast size following explant b/c breast implants and weight fluctuations over time tend to thin tissues, cause a decrease in size, and create more droop.
Usually removing them and performing a lift at the same time makes the most sense as some patients clearly need a lift and only want to go through one surgery. If you are borderline, it is not unreasonable to remove the implants and then observe a waiting period of six months before the determination for breast lift is made. This will give your breasts time to bounce back and your PS time to determine what type of lift, if any, is needed

Gary M. Horndeski, MD · Answer

After explantation, patients are often dissatisfied because of the hanging skin envelope.  For that reason, many patients undergo a simultaneous lift.  The technique I recommend is explantation and lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, 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.

Donald R. Revis Jr, MD · Answer

Good morning,
I think you can get back very close to your preop appearance by removing the capsule and the implants, placing a drain for five days, and then wearing a tight compression bra 24/7 for 12 weeks. It works beautifully and it really doesn't matter if your weight is a little higher or lower!

Daniel Barrett, MD · Answer

Dear Lmpyspcprncss,
it is hard to tell for sure without an examination. You can get implant removal and wait to see the final results and then decide whether you'll need another surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  Nothing replaces an in-person examination of your tissues but I would expect good contraction of your breast skin and tissue after removal although the skin will be looser than pre-augmentation.  Hope this helps.

What should I expect with breast implant removal?

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Answer: What should I expect with breast implant removal? (photos)

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What should I expect with breast implant removal?

Answers (9)

Answer: Implant removal

Answer: Implant removal

Answer: What should I expect with breast implant removal? (photos)

Answer: What should I expect with breast implant removal? (photos)

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Recommended reading

Everything you need to know about Breast Implant Removal

Our mission is to create a world where every investment in modern beauty is Worth It.