What results should I expect from a breast explant with no replacement? 420cc over the muscle 11 years ago.

Question

Originally 32B/C cup now 30E/F. I have very few stretch marks from the surgery. No health problems from the implants. I am an active individual and sure I don't need implants to be a part of my body any longer. I have seen 2 surgeons who advised I would be extremely unhappy with an explant result. But I have seen results on here that I would be very happy with! I wonder if the advise may be different if I see an explant specialist?

Jed H. Horowitz, MD, FACS · Answer

Good day! Generally after explantation, the shape and size of the breast will be unpredictable. The breast will be smaller and possibly sag more. Result varies between patients and it will largely depend upon their age, duration and size of the implant, or previous state of their breasts like existing anatomy, deformity, previous surgeries, underlying personal and family medical conditions, nicotine use, pregnancy and other factors. Improved appearance can be achieved through natural breast augmentation or fat transfer in conjunction or after explantation if you are not satisfied with the results. Do not hesitate to ask your surgeon about this and discuss realistic goals and expectations. Best of luck! #RealSelf100

Gary M. Horndeski, MD · Answer

Simply
explanting 420 cc implants will result in excess hanging skin and you will be
dissatisfied.  I recommend 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.

Camille Cash, MD · Answer

Due to the size of the implants and the length of time you've had them, it is likely you will have loose, saggy breasts after removal.  You have the option of removing the implants and allowing the breasts to fully heal.  That way you can know for sure about the result.  If you are pleased, then there is no need to do anything further.  If you are unhappy you can elect to do a lift at a later time.

Daniel Barrett, MD · Answer

Dear hberry88,it is hard to tell for sure without an examination. 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

Larry S. Nichter, MD, MS, FACS · Answer

Without seeing what you looked like prior to surgery, an exam, or even your current pictures or measurements of your base diameter it is hard to tell exactly what your breast will look like after breast implant removal.Clearly there will be some more sag than with the implants as the soft tissue is stretched but this is dependent on several factors such as  the elasticity  of your skin - the more the better, and the degree of sag you had before. Younger patients with smaller implants tend to do a bit better. There are also other options such as placing fat in your breasts at the time of implant removal that can minimize these problems. Always see a board certified plastic surgeon experienced in this type of surgery. #californiabreastlift

What results should I expect from a breast explant with no replacement? 420cc over the muscle 11 years ago.

Answers (5)