I had 365g Natrelle 410LX implants placed under the muscle (just barely under the muscle as it was needed to fill lower pole entirely. Right side filled out almost perfectly, left you can still see old shape. Had this done 12 years ago. Want them out. If I explant and do a fat graft session will I be able to have nicely shaped breasts? I hope for a big B cup or small C post-op. My bra size was 38b pre-op and I’m now a 36d. Any thoughts would be greatly appreciated thanks for your time.
Answer: Breast Implant Removal It is always difficult to predict how things will look after implants are removed, especially since you have had them for some time. Judging by the preop photos, I would say that you should be prepared for the possibility of needing to reposition the nipple and areola (lift) as well as fat grafting. I would say that it would be likely that you would need more than one surgery, i.e. further fat grafting to achieve an aesthetically pleasing result.The one thing you should be advised is that the fat grafting is really for contouring rather than give you size. Yes it will give you some volume, but its goal is to shape the breast.I would recommend you see a board certified plastic surgeon that performs breast revision surgery.Hope that helps.
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Answer: Breast Implant Removal It is always difficult to predict how things will look after implants are removed, especially since you have had them for some time. Judging by the preop photos, I would say that you should be prepared for the possibility of needing to reposition the nipple and areola (lift) as well as fat grafting. I would say that it would be likely that you would need more than one surgery, i.e. further fat grafting to achieve an aesthetically pleasing result.The one thing you should be advised is that the fat grafting is really for contouring rather than give you size. Yes it will give you some volume, but its goal is to shape the breast.I would recommend you see a board certified plastic surgeon that performs breast revision surgery.Hope that helps.
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Answer: Removal Since you were not a C cup prior to surgery, you will probably still not be a C cup after removal. Your breast shape should be improved, but you will have some loose skin. Fat grafting may have to be done in sessions to get you to the size you want.
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Answer: Removal Since you were not a C cup prior to surgery, you will probably still not be a C cup after removal. Your breast shape should be improved, but you will have some loose skin. Fat grafting may have to be done in sessions to get you to the size you want.
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December 7, 2019
Answer: Explant on preciously tuberous breasts with fat graft. Will my creases ever disappear? (photo) The smaller the implant and the less 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 the 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 or breast fat transfer 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.Breast fat transfer is a great tool to balance breasts, improve symmetry, and gain up to one cup size in volume. In general, 200 cc per breast is typically the upper limit of fat injection recommended by most plastic surgeons. It is not that more cannot be injected; but on average, this has been determined to be the most that can be expected to live during one transfer. Multiple transfers would be required for additional cc's. In general, the abdomen and thighs are preferred donor sites but fat from other areas can be used. Some of the retention rate will depend upon the amount of fat transferred, as smaller volumes will likely have a higher survival. Occasionally, a patient can resorb a great deal of the fat despite optimal transfer procedures. I typically transfer from 250 cc to 400 cc or so per breast. Results are largely dependent upon the skill of the surgeon, his/her ability to remove fat without creating contour deformities, and your expectations. You would need a consultation with a board certified PS to determine your available fat stores.
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December 7, 2019
Answer: Explant on preciously tuberous breasts with fat graft. Will my creases ever disappear? (photo) The smaller the implant and the less 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 the 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 or breast fat transfer 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.Breast fat transfer is a great tool to balance breasts, improve symmetry, and gain up to one cup size in volume. In general, 200 cc per breast is typically the upper limit of fat injection recommended by most plastic surgeons. It is not that more cannot be injected; but on average, this has been determined to be the most that can be expected to live during one transfer. Multiple transfers would be required for additional cc's. In general, the abdomen and thighs are preferred donor sites but fat from other areas can be used. Some of the retention rate will depend upon the amount of fat transferred, as smaller volumes will likely have a higher survival. Occasionally, a patient can resorb a great deal of the fat despite optimal transfer procedures. I typically transfer from 250 cc to 400 cc or so per breast. Results are largely dependent upon the skill of the surgeon, his/her ability to remove fat without creating contour deformities, and your expectations. You would need a consultation with a board certified PS to determine your available fat stores.
Helpful
December 6, 2019
Answer: Explant on preciously tuberous breasts with fat graft In order to maximize the outcome you will likely need a lift along with the fat grafting. Please be aware that fat grafting does not produce the same look as implants. Often times touch ups are needed as the fat does not always "take" evenly. Be sure to see a board certified plastic surgeon near you to learn more.
Helpful
December 6, 2019
Answer: Explant on preciously tuberous breasts with fat graft In order to maximize the outcome you will likely need a lift along with the fat grafting. Please be aware that fat grafting does not produce the same look as implants. Often times touch ups are needed as the fat does not always "take" evenly. Be sure to see a board certified plastic surgeon near you to learn more.
Helpful
December 3, 2019
Answer: Explant and The Bellesoma Lift I recommend explantation and a lift using a no vertical scar technique. 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. If you were a B before augmentation, you should still maintain a B size.Best Wishes,Gary Horndeski, M.D.
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December 3, 2019
Answer: Explant and The Bellesoma Lift I recommend explantation and a lift using a no vertical scar technique. 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. If you were a B before augmentation, you should still maintain a B size.Best Wishes,Gary Horndeski, M.D.
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