I want to remove my breast implants and do a lift. I have spoken to two doctors who says that they want to do the explant and lift in the same operation. Then I have spoken to a third doctor who says it is better to first do the explant. Then let the breast heal for about 6 months and then do the lift. Please help me with your opinion. I have 300cc in each breast. All three doctors says a lift is needed to give me the result I want. Should I go for one or two operations? Thanks in advance!
January 9, 2015
Answer: Should I do an explant and lift in one or two operations? This is one of the most pertinent questions that have been asked, simply because the answer to your question fully depends on two factors: Whether your implants are under the pectoralis major muscle and you have excellent tissue thickness between the implant and your nipple-areola complex, and whether your surgeon understands the importance of this fact and can safely perform a breast lift in this context.If your implants are over the muscle or your tissue envelope is very thin under the nipples, I would perform your lift in two stages - one for implant removal and one for the lift. If your implants are under the muscle, I would probably perform your explantation and lift in one operation . The reason is that the incision required for a lift can endanger the blood supply to the nipple-areola and result in necrosis or loss of part or all of the nipple-areola complex. When the implant is under the muscle more of the blood supply perforators to the nipple are preserved and the one stage procedure is safer to perform. Regardless, the technique is also very important to preserve as many subdermal perforators during the breast lift while getting a good aesthetic result. Best of luck. Daniel Golshani, M.D., Beverly Hills.
Helpful 2 people found this helpful
January 9, 2015
Answer: Should I do an explant and lift in one or two operations? This is one of the most pertinent questions that have been asked, simply because the answer to your question fully depends on two factors: Whether your implants are under the pectoralis major muscle and you have excellent tissue thickness between the implant and your nipple-areola complex, and whether your surgeon understands the importance of this fact and can safely perform a breast lift in this context.If your implants are over the muscle or your tissue envelope is very thin under the nipples, I would perform your lift in two stages - one for implant removal and one for the lift. If your implants are under the muscle, I would probably perform your explantation and lift in one operation . The reason is that the incision required for a lift can endanger the blood supply to the nipple-areola and result in necrosis or loss of part or all of the nipple-areola complex. When the implant is under the muscle more of the blood supply perforators to the nipple are preserved and the one stage procedure is safer to perform. Regardless, the technique is also very important to preserve as many subdermal perforators during the breast lift while getting a good aesthetic result. Best of luck. Daniel Golshani, M.D., Beverly Hills.
Helpful 2 people found this helpful
January 9, 2015
Answer: Breast implant removal and lifting. I have had excellent uncomplicated results on many occasions with the combined explant and mastopexy lift. The decision is partially based on the size of the patients breast without an implant. Smoking is strictly prohibited. The answer to your situation can only be assessed by examination and history. Your goals are important.
Helpful 2 people found this helpful
January 9, 2015
Answer: Breast implant removal and lifting. I have had excellent uncomplicated results on many occasions with the combined explant and mastopexy lift. The decision is partially based on the size of the patients breast without an implant. Smoking is strictly prohibited. The answer to your situation can only be assessed by examination and history. Your goals are important.
Helpful 2 people found this helpful
