Chest concavity post-implant removal - is reimplant the only way to fix my disfigured chest? (Photos)

Hello @Kelly Cookie, Thank you for your question. Sometimes, breast implant removal can result in alterations to the chest wall or breast tissue, such as indentations. This is typically more apparent in women with larger implants, as the larger the implant, the more it may alter the natural anatomy over time. However, it depends on the specialist surgical technique and procedures determined to be used in order to achieve an adequate result. I always approach a breast explant with immediate aesthetic 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 and a lift if needed. To shed more light on this, I have attached a video. If you are considering a breast procedure, consultation with a plastic surgeon experienced in this procedure is essential to ensuring 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)

Hello, thank you for your vulnerability in posting this question. I'm sorry to hear that you're feeling this way. It sounds like you've been through a lot with your breast surgeries and that you're in a touch place emotionally and physically. I have attached a detailed video that specifically answers your question. Other alternatives to re-implanting include prosthetics or external devices if you're not looking to have additional surgeries as well as physical therapy to strengthen and reshape the muscles around the chest area. Your feelings of regret and distress are completely valid. Considering the emotional impact of these procedures, it might be beneficial to seek support groups for people who have had similar experiences. Sometimes discussing your feelings with others who understand can provide comfort and perspective. If you're leaning toward a flat-closure mastectomy, consulting with a surgeon who specializes in this procedure is essential; however, it is not my recommendation to have a flat-closure as I have explained in the video. It is crucial to gather as much information as possible and consider seeking multiple opinions before making a final decision. Each option has its own set of benefits and drawbacks, and finding the right approach will depend on your personal goals and needs.

Dear Kelly Cookie,
it is hard to tell for sure without an examination. You might be able to get fat transfer if you want to avoid implants. 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

If you experience chest concavity or deformity following breast implant removal and are concerned about the appearance, there are several options to consider. Reimplantation is one potential option, but it's important to explore various alternatives based on your specific situation. Here are some possibilities:1. Fat Grafting: Fat grafting involves transferring fat from one part of your body to another to enhance volume. It's a surgical procedure that may be used to address concavity or irregularities in the chest after implant removal.2. Breast Lift (Mastopexy): If sagging or drooping is a concern, a breast lift may help improve breast shape and contour without the need for implants. This procedure removes excess skin and reshapes the breast tissue.3. Tissue Expanders: Tissue expanders are inflatable devices that can be placed in the chest to gradually stretch the skin and tissue. This can be a precursor to implant placement or used as a standalone procedure to improve contour.4. Chest Wall Reconstruction: In more severe cases of chest deformity, especially if related to congenital conditions or trauma, chest wall reconstruction may be considered. This involves surgical techniques to reshape the chest wall.5. Non-Surgical Options: Depending on the nature and extent of the concavity, non-surgical options such as dermal fillers or fat injections may be considered. These can be less invasive than surgical procedures but may have limitations in terms of long-term results.It's crucial to consult with a board-certified plastic surgeon who has experience in breast surgery. They can assess your specific situation, discuss your goals, and recommend the most appropriate treatment options tailored to your needs.Each individual case is unique, and the right approach will depend on factors such as the degree of concavity, skin elasticity, and personal preferences. The plastic surgeon will guide you through the available options, potential risks, and expected outcomes to help you make an informed decision about the best course of action for your situation.

I'm sorry to hear of the issues you've had with your implant removal. Breast implants is one way to improve the chest contour. You may have some improvement with skin tightening. You may want to go to a few board certified plastic surgeons near you to listen to varying opinions.

I am sorry that you were not happy with implants. You might consider minimally invasive skin tightening with radiofrequency like Renuvion to help your excess skin.

You’ve had multiple procedures, so your situation is complex. In order to make a quality assessment and give you quality information. We probably need to have a bit more information. In particular what would be important to know is if you had a history of capsular contractions and if the implants were removed with capsulectomy.
It would also be very important to know how many years you have the implants. Re-Augmentin is probably the easiest way to restore your breast contour.
If you were still unhappy with having implants, why did you re-augment?
Why did you remove the implants?
Continue following up with your provider or consider getting in person. Second opinion consultation.
Best,
Matt Hagstrom, MD.