Can I remove breast implants from breasts that were very different from each other with a good result?

Thank you for your question.  Over the last few years, I had this request many times and have been very happy with the results.  You can see several results on my website under breast revision, it is the last category - removal of implants and mastopexy. The most important aspect is your anatomy, how much native breast tissue that you have versus how much of her breast is implant.  The only way to determine this is an person examination with an experienced plastic surgeon.  Best wishes to you.

The
best technique 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 to correct asymmetry.Best Wishes,Gary Horndeski, M.D.

It's really difficult to make recommendations without seeing photos of your chest or examining you.  If you require a lift, some of the asymmetry can be corrected by removing more tissue from the larger breast.  However, a lift isn't always needed when removing implants.  It's best to see a plastic surgeon for consultation to see which option is best for you.

it is best to discuss this with your surgeon because an exam is necessary to determine how much breast tissue you will have left. It is likely that by doing a lift, the size difference may be corrected, but you may always have a slight difference between the two breasts. 

This can be better determined with a photo.   I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Dear user43211,it is hard to predict how will your breasts look after you remove implants. It is likely that they will be similar in size as they were before implants. You might be a candidate for a fat transfer in order to achieve more symmetrical breasts. 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

In your case, the implants are 70cc different which creates symmetry. So you should add 70cc of fat to your smaller breasts on removal of the implants. Usually I go over by 20% to account for any fat loss. Remember ot have the PS FIX THE PEC MUSCLE on explant. Why PS have to be told to do this is beyond me, but you don't want a pec flex deformity. And consider maybe grafting both sides so you don't look too deflated.

Thank you for the question.   Based on your description, it sounds like you may benefit from removal of bilateral breast implants and reduction/lifting of breast tissue on one or both sides.Ultimately, whether to undergo breast implant removal or removal/replacement breast  surgery is a very personal decision that only you can make after a careful consideration of pros/cons associated with each decision option.


 For example,  if you feel that you will be happy with your breast size after breast implant removal surgery, then explantation may be in your best interests ( in order to avoid any further elective breast surgery in the future).  On the other hand, if you feel that you will not be pleased with the outcome of breast implant removal surgery, revisionary breast surgery  and selection of appropriate breast implant sizes/profile will be necessary to maintain overall breast symmetry.  


My best advice: select your plastic surgeon carefully. Make sure that he/she has significant experience achieving the types of outcomes you will be pleased with. Then, communicate your goals carefully, as well.    Careful communication, using visual aids such as goal photographs and computer imaging, may help you (and your plastic surgeon) determine which way is best to proceed.


 
Best wishes. 

removal will leave your breasts as they were before... with an obvious visible difference in size.  Lifting will help improve your shape assuming you have some ptosis by now.  As for the size difference, you can either choose to have the larger side reduced slightly or the smaller side fat grafted to help enlarge it.  I would avoid a new implant if you're wanting them out at this time.