What type of lift to get fullness back after previous explant? (Photos)

Question

I have previously explanted due to rupture and I am now wanting the fullness back. The only thing holding me back is the lift scars. What type of lift would be needed? I only want small implants (275cc or less)

Gerald Minniti, MD, FACS · Answer

Don't look for periareolar incision lifts (donut or crescent) to give you a pleasing breast shape. You'll need a formal lift with the attendant vertical incision. Don't worry, that vertical scar will likely become inconspicuous.

Sam Speron, MD, FACS · Answer

It is very common for women to want a breast lift and ask about their recovery and when they can start exercising after surgery. There are several different types of breast lift procedures with all sorts of scars. Obviously the body heals with swelling and inflammation and usually that maxes out at two days and then starts getting better. Most of these patients take no pain medicine (because of the nerve blocks given during surgery) and usually feel very comfortable going out in public the same or next few days.  I usually call my patients the night of surgery and check on them in person the next day. If everything is fine the next day, I then let them shower and they do not need a dressing over their incisions. At the two week check up, I usually have people start working out and then after six weeks they can do whatever they want.  I routinely tell people to take a few days to a week off work and to hide out but some people are very nervous especially celebrities and they might hide out for two weeks. As with any scar on the human body, initially scars are red, hard and raised and it typically takes six months to a year for them to become a soft thin white line. Additionally with recovery, there're many things we do to expedite healing such as nerve blocks during surgery, oral supplements, skin care and scar therapy recommendations, lymphatic massage sessions that are included in our pricing. I strongly feel that it's very important to have an honest conversation with your surgeon about your particular situation, lifestyle, work environment and specifically which procedures you're having done so that you both have the most honest answer about your recovery and are realistic with expectations and results. I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of short scar breast lifts. Good luck with your future surgery! I hope this helps answer your question. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

Alan Gonzalez, MD, FACS · Answer

Hello @msl7366, thank you for your question. is important to remember to also remove the capsules as well and have a cytology analyze to avoid future complications. You can have breast pexy (lift) and a reconfiguration of the tissue, to lift it and give it a good shape. Due to the experience of so many explantation surgeries practiced in these 21 years I consider that the L-shaped incision is the minimum and smallest scar possible in this surgery. It is important that you have a consultation with a board certified specialist to determine a surgical plan according to your needs. Best wishes! Alan Gonzalez MD, FACS.

Gary M. Horndeski, MD · Answer

The technique I recommend is The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.  Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear msl7366,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. 
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

What type of lift to get fullness back after previous explant? (Photos)

Answers (7)

Answer: Bellesoma Method

Answer: Bellesoma Method

Answer: Breast lift

Answer: Breast lift

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Everything you need to know about Breast Lift with Implants

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What type of lift to get fullness back after previous explant? (Photos)

Answers (7)

Answer: Bellesoma Method

Answer: Bellesoma Method

Answer: Breast lift

Answer: Breast lift

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Recommended reading

Everything you need to know about Breast Lift with Implants

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