Can I have silicone implants removed even though I have strattice?

Question

I am wanting to explant permanently, but I have strattice that was placed to prevent capsular contracture. How does that work? Will they just remove the implants (415cc silicone) or remove the implants and strattice? If they leave the strattice, will it be visible under skin without the implant to support it? I have very very little natural breast tissue. Thank you.

Camille Cash, MD · Answer

Yes you can still have implant removal even though you had strattice for implant support.  Your surgeon can discuss with you the best course of action based on your unique situation.  A lift is sometimes recommended based on the amount of ptosis.  I've included a video I hope you find helpful.

Gary M. Horndeski, MD · Answer

Strattice is self-absorbing and it will eventually be gone.  Simply removing 415 cc implants will results in hanging breasts with excess skin.  I recommend 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.  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.

Mats Hagstrom, MD (license on probation) · Answer

First and foremost, you should really think this through.
Are you sure you want the outcome of breast implant explanation?
Why do you want the implants removed?
I’ve seen too many patients changed their mind twice going back to wishing they had implants or augmenting for a second time.
You don’t wanna have multiple breast procedures, regardless.
Strattice integrates with your body tissues, and most likely if it has anything remaining will be part of your capsule.
If you have a soft capsule, then there is no need to remove the capsule.
If you have a capsule contraction, then the capsule can be removed.
 It’s technically difficult and not indicated to try to remove a capsule, which is thin, even if it has previously placed product like Strattice. 
Each plastic surgeon will have their own opinion and their own way of explaining this.
If your surgeon use this material on a regular basis, then that may be the person to talk to about the implication of removing the implant with Strattice. 
It should be a non-variable and I’m assuming it will be.
What’s more important is if you have any development of capsular contraction or not.
This can significantly change the outcome and look of your breast with the implant removal.
There are a lot of variables and a lot of things to consider.
This is best done during in person consultations either with your original plastic surgeon or other plastic surgeons in your community.
I would definitely not do this via a virtual consult, but rather in person preferably with a plastic surgeon who has the time and dedication to go over everything that needs to be discussed.I don’t think you’re going to find it much useful information by posting online for your situation.
You need to really have a good reason to remove the implants.
If you do simply move forward and start consulting with providers.
Having had breast implants for multiple years, can change the contour of your rib cage, creating a slight indentations, making the breast look flatter with less projection than they were before your augmentation.
Make sure you’re ready for that look before you have your implants removed.
If you thought everything through then there’s absolutely nothing wrong with having the implants removed and it is 100%. Patient choice.
If you’re having any problems with the implants, you might even get medical insurance to pay for it.
My best advice is to make sure you’re working with the right plastic surgeon and if you are you’ll be guided correctly.
That said, finding the best plastic surgeon is more difficult than most people realize.
In other words, there are major differences among board certified plastic surgeons.
Best,
Mats Hagstrom MD

Can I have silicone implants removed even though I have strattice?

Answers (3)

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.

Can I have silicone implants removed even though I have strattice?

Answers (3)

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.