Do I have enough natural breast tissue for a natural looking breasts after removal? (Photos)

The technique I recommend is explantation 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. 

Dear Independent1441,
It is hard to predict what will your breasts look once you remove your implants. There is a chance that you will have saggy breasts after implants removal. It might be best to remove implants, wait to see the final results of your surgery and then decide whether you will need breast lift. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

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.
Following removal, one can expect:
-Loss of volume- Not an exact correlation between pre- and post augmentation due to the changes over time. You may be bigger or smaller than you remember.
-Ptosis/sagging-Ptosis develops over time and may be worsened by the presence of an implant. If a patient has pre-explant sagging, removal is likely to worsen this to a certain extent. If there is no ptosis, it does not necessarily mean there will be no ptosis after removal.
-Skin laxity/stretch- There is inherent skin elasticity which will allow for some measure of snap back. However, the greater the volume differential pre- and post- the more likely there will be excess skin.
In my experience, it is usually a safe assumption that there will be some changes post removal which oftentimes may necessitate further operative intervention (i.e. lift), however this is often a function of size and length of time post op. Small implants which have only been in place for a short period will lead to an improved response/recoil post removal.
With regards to your specific question, your options will be entirely dependent upon the response of the tissue to the loss of the implant (as well as your expectations). Some patients will have very little laxity and good nipple position. They may be able to forego a lift and instead may fat graft for some volume (or do nothing at all). Others may need multiple interventions to reach a look with which they are comfortable.
Based upon your photos alone, I would assume you would benefit from a formal mastopexy/lift. This will help account for the likely skin excess/laxity. Volume, on the other hand is more difficult to predict with any certainty without in-person exam.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).
Donovan Rosas MD
Board Certified by the American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons
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Thank you for sharing your excellent question and congratulations on getting into such good shape after your child.  Based on your current breast appearance, size of implants, and duration of implantation, you will most likely require a lift at the time of your explant for best results.  Hope this helps.

The smaller the implant and the less the amount of time 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.  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. Fat graft take should always be optimized with the best blood supply available.

It's not possible to determine how much native breast tissue you have without an exam.  You are likely to have some loose skin after implant removal, but it should retract to some degree during healing.  I encourage you to meet with a board certified plastic surgeon near you for a consultation.  An examination should reveal more answers to your questions.

I would suggest meeting with a board certified plastic surgeon and being examined. Your surgeon can tell how much breast tissue you still have by examination. I suspect after your weight loss and the size of implants you now have that you do not have much tissue left, especially if you were a B cup prior to weight loss.

Following breast implant removal breasts usually do not look very normal.there are several procedures that can be used to improve the shape of the breast , these include ;Advancing surrounding tissue into the breast area,breast lift and fat grafting

Hi-

First off to answer this question in its entirety there is a need for an in person exam to really feel how much of your natural breast tissue remains. Going on the fact that you started with a “B” cup and now are on the larger size and have been through a pregnancy I imagine your breast tissue has stretched and thinned to some degree. Without doubt you can remove your implants, have a lift and some element of fat grafting. You will likely be left with a small “B”.  So at this  point it is really a “come to grips” with what a natural breast would mean for you.  I have seen several patients that wanted what you are thinking  about doing and if their expectations were realistic with what to expect then they were very happy. It is a difficult decision for sure. 

Good luck! 
- Dr. Bekanich 

Thank you for the question.  I think you are thinking along the right lines: your plastic surgeon (assuming you select a well experienced board certified plastic surgeon) should be able to, after examining you, demonstrate (with the help of before/after photographs of other patients) what you might expect  after breast implant removal surgery.
 Some general thoughts in this regard may be helpful to you:
As you can imagine, there are many variables involved when it comes to the aesthetic outcome achieved after breast implant removal.   Generally speaking, what your breasts will look like after explantation depends on several factors such as: the quality of skin elasticity (the better the elasticity the better the skin will bounce back), the size of the implants used (the larger the implant the more trouble you may have with redundant skin), and the amount of breast tissue present at this time (which may have changed since the time of your breast augmentation).
Life experience since your breast augmentation procedure, such as pregnancy or weight gain weight loss, will potentially influence the factors discussed above. If you take these factors into consideration and apply them to your specific circumstances you may get a good idea of what to expect after the implants are removed.
 Patience is definitely indicated after removal of breast implants; it will take many months/year for the skin to “bounce back” and for you to see the final appearance of the breasts.   In other words, it may take several months for swelling to completely resolve;  postoperative deformities may be more visible at that time.
In "borderline" cases where there is doubt whether breast lifting is necessary or not, I advise patients to undergo explantation only and to give their breasts the benefit of the doubt  before deciding whether breast lifting would be beneficial.  
I hope this helps. Best wishes.