I have had 350 cc over the muscle silicones for 33 years. I had a lift four years ago and replacement. I have since decided I want them removed forever due to grade IV cc. I was originally a barely A, I am now a DD...is there any way by calculation to know what I might be after explant. My PS is doing Enbloc removal of the implant and I have heard you can lose breast tissue with this method...I don’t think I can afford this. Is there anything I can tell my doctor or any other options I might have.
Answer: Explant and The Bellesoma Lift Unfortunately, you have not provided photographs or told us your current chest measurement. If you are a 32 or 34, each 100 cc corresponds to 1 cup size change. If you are 36 or 38, each 200 cc corresponds to 1 cup size change. Removing 350 cc implants will results in 3 ½ cup size reduction (32 or 34) or 2 cup size reduction (36 or 38). However, en bloc takes the surrounding breast tissue with the capsule that may result in even further tissue loss. Also, having explant alone may be unsatisfactory. The skin envelope may hang and you may need another lift, even though you have already had one. The technique I recommend is explantation and a 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 and the ability to breast feed are maintained, if not injured during your previous surgery. At the same time or later, fat transfers can be performed if additional volume is desired. Best Wishes,Gary Horndeski, M.D.
Helpful 3 people found this helpful
Answer: Explant and The Bellesoma Lift Unfortunately, you have not provided photographs or told us your current chest measurement. If you are a 32 or 34, each 100 cc corresponds to 1 cup size change. If you are 36 or 38, each 200 cc corresponds to 1 cup size change. Removing 350 cc implants will results in 3 ½ cup size reduction (32 or 34) or 2 cup size reduction (36 or 38). However, en bloc takes the surrounding breast tissue with the capsule that may result in even further tissue loss. Also, having explant alone may be unsatisfactory. The skin envelope may hang and you may need another lift, even though you have already had one. The technique I recommend is explantation and a 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 and the ability to breast feed are maintained, if not injured during your previous surgery. At the same time or later, fat transfers can be performed if additional volume is desired. Best Wishes,Gary Horndeski, M.D.
Helpful 3 people found this helpful
June 19, 2019
Answer: What size difference can I expect after explant? The smaller the implant (350cc) and the less the amount of time (33 years) it has been since placement, the greater the chance the beasts 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.
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June 19, 2019
Answer: What size difference can I expect after explant? The smaller the implant (350cc) and the less the amount of time (33 years) it has been since placement, the greater the chance the beasts 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.
Helpful
June 19, 2019
Answer: Implant removal Dear jill0786,
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June 19, 2019
Answer: Implant removal Dear jill0786,
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June 19, 2019
Answer: What size difference can I expect after explant? Thank you for sharing your excellent question. Unfortunately without being able to see or feel your breast tissue it is difficult to offer advice on your final size. For most patients you can anticipate a couple of cups but this is variable. Although the en bloc will remove the implant and surrounding scar tissue it does not lead to significant loss of breast tissue and since you had a lift four years ago, hopefully little skin removal will be required. Hope this helps.
Helpful
June 19, 2019
Answer: What size difference can I expect after explant? Thank you for sharing your excellent question. Unfortunately without being able to see or feel your breast tissue it is difficult to offer advice on your final size. For most patients you can anticipate a couple of cups but this is variable. Although the en bloc will remove the implant and surrounding scar tissue it does not lead to significant loss of breast tissue and since you had a lift four years ago, hopefully little skin removal will be required. Hope this helps.
Helpful
June 19, 2019
Answer: Explant Predictions It is difficult to make 100% accurate predictions following explant. There are a number of factors to consider including age (the breast changes over time irregardless of augmentation), weight change, skin stretch and residual elasticity.
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June 19, 2019
Answer: Explant Predictions It is difficult to make 100% accurate predictions following explant. There are a number of factors to consider including age (the breast changes over time irregardless of augmentation), weight change, skin stretch and residual elasticity.
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