How long after having the implants removed would I have to wait for fat grafting to my breast?

Fat grafting only adds volume to the breast. However, after explantation, often times you will need skin removal as well. I often combine explantation, breast lift and fat grafting (depending on the patient). If you want to do them in 2 stages then I would suggest you wait 6 months to do the fat grafting.

Best Wishes,

Gary Horndeski, M.D.

Removal of breast implants, intact or ruptured, may have positive implications if patients are symptomatic. A constellation of symptoms associated with breast implant illness, and autoimmune disease are considered when treating patients who have breast implants and are concerned about foreign body reaction. In our office, we begin this journey with a consideration of symptoms and exclusion of obvious autoimmune problems. In many of our patients, en bloc removal of breast implants with capsulectomy is important and beneficial. Further clinical evidence about breast implant illness is evolving and will continue to guide treatment. I would suggest removal if there is a possibility of foreign body reaction.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hello @gelymz, thank you for your question. Keep in mind that every specialist has a different technique and ways in which a procedure is done. If what you want is to do an explantation with capsulostomy is not convenient to do the fat transfer to breasts in the same procedure, it is advisable to wait 3 to 4 months to avoid the fat to die or risk of infection. In this case the incision would be periareolar and inverted J-shaped to avoid making a T. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD, FACS.

Dear gelymz,
you should be fully healed prior to another procedure. If you are considering surgery, I would suggest you 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

After having breast implants removed, the typical waiting period before undergoing fat grafting to the breasts is about 6 months. This allows your body enough time to heal from the implant removal, and for any residual swelling to subside, ensuring that your breasts have settled into their natural shape. Your plastic surgeon will assess your healing progress and determine the ideal timing for the fat grafting procedure based on your individual circumstances.

Hello, I routinely do fat grafting at the same time as the explantation. I see no reason why they cannot be performed at the same time. Sometimes fat grafting may need to be performed in a staged fashion or more than once in order to achieve the optimal aesthetic goals. The cost is extremely variable and thus difficult to give a number.

You will need an examination to see if fat grafting can be done at the same time as the removal. Implants did stretch and thin your own breast tissue, making it more limited to accept fat.

If you are a good candidate for fat grafting, it is often done at the time of implant removal. If you have had your implants for ten years, a lift may be recommended for you. Be sure to discuss the pros and cons of fat grafting with your surgeon. You may find it is more reliable to select a differently sized implant.

You could do them explantation of the implants at the same time as the mastopexy and fat grafting. Just remember that fat grafting to the breasts is not really an alternative to breast implants as it gives a very unpredictable size and shape and may require revision procedures for symmetry. The procedure should cost 15-25 k