Debating on explant, have a full lift & doctor said won't need lift if removed - will I need another? (Photos)

Question

Want to explant but I'm am scared I will look like my original breast I have little breast tissue . I am the same weight 155 lbs I lost 100lbs 10 years ago and it has been stable .. I have 425 mod cohesive gel. Doctor suggested going over the muscle but I'm scared of other complications. He also suggested staying under the muscle with pocket revision. I would also want smaller as I feel these are too large for my body. Also I am planning a tummy tuck when I do this surgery. Ideally removal.

Shaher W. Khan, MD · Answer

Hello, thank you for your question. It sounds like you have a lot on your mind regarding surgery and the considerations surrounding your breast size and desired outcomes. Please see the attached video that discusses and answers your question specifically, in detail. Given your history and desires, it is essential to have an in-depth conversation with board-certified plastic surgeons. Discuss all of your concerns and ask about their experience with similar cases. You might also consider seeking a second opinion to ensure you feel confident in your decision. Ultimately, the goal is to achieve a result that aligns with your vision of your body and maintains your health and well-being.

Alan Gonzalez, MD, FACS · Answer

Hello @Canadagirl82, thank you for your question. My opinion is that a breast implant removal should be combined with immediate breast reconstruction to reposition the mammary tissue and improve projection of the upper pole and medial areas using the BRALAN Technique (Breast Reconstruction Anatomical Lift Augmentation) since the results will be adequate in terms of aesthetics and have a minimal scar in the shape of an L. 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)

Daniel Barrett, MD · Answer

Dear Canadagirl82,
it is hard to tell for sure without an examination. You will most likely look similar to prior implants or maybe you will end up with some more loose skin. 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

Camille Cash, MD · Answer

If you choose to exchange implants you will likely not need a lift unless you decrease implant size significantly.  There are several benefits to having the implants below the muscle versus above.  Be sure to consider all the pros and cons.  You can consider combining a tummy tuck at the same time as implant exchange which is commonly done.  If you choose to explant only you will likely have loose empty breasts.

Gary M. Horndeski, MD · Answer

It is possible that you could undergo explantation and an upside down tummy tuck, which would remove the excess breast skin and allow the tummy tuck to be done at the same time.  You may also want to consider fat transfers to the breasts as an alternative.

Best Wishes,

Gary Horndeski, M.D.

Debating on explant, have a full lift & doctor said won't need lift if removed - will I need another? (Photos)

Answers (7)

Answer: Considering options

Answer: Considering options

Answer: Explant with upside down tummy tuck

Answer: Explant with upside down tummy tuck

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Everything you need to know about Breast Implant Removal

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Debating on explant, have a full lift & doctor said won't need lift if removed - will I need another? (Photos)

Answers (7)

Answer: Considering options

Answer: Considering options

Answer: Explant with upside down tummy tuck

Answer: Explant with upside down tummy tuck

Browse related questions

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.