Saline breast implant removal under muscle - should I do it now before fertility treatment, or after I have baby #2?

Question

I am a 37 year old female. Otherwise in great health. I had saline breast implants put in under the muscle almost 15 years ago. About 400-425 cc each implant. I need help deciding: 1. Should I have my prior surgeon do the explant/capsulectomy or another doctor? 2. Do I have explant/capsulectomy now, before moving forward with fertility treatment or after I have baby #2? 3. At what point would be ideal to do a fat transfer?

Camille Cash, MD · Answer

You can elect to have your implants removed by either the surgeon who placed them or another board certified plastic surgeon.  The timing of the removal is up to you.  Are you removing them because you feel they are too large for you?  If so you may want to remove them prior to pregnancy as the breasts will be larger and perhaps more sensitive due to hormone changes.

Alan Gonzalez, MD, FACS · Answer

Hello @81818181, thank you for your question. It is best for your health to remove the implants as soon as possible since you have had them for 15 years. Pregnancy and pregnancy treatments cause hormonal changes, which is why it is better to be without a prosthesis. I suggest you look for a surgeon who has experience in explantation. If you already have one that will help you to obtain an adequate result, also in terms of aesthetics. As for breast fat transfer is best to wait 3 months at least after breast implant removal. If you are considering a breast explantation, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. Best wishes! Alan Gonzalez MD, FACS.

Daniel Barrett, MD · Answer

Dear dorsay,
your implants can be removed by your surgeon or another surgeon. The ideal timing of your surgery should be discussed with your surgeon. In some cases it is possible to do implant removal and fat transfer at the same time. 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

Connie Hiers, MD, FACS · Answer

Based on your questions, I do not think you are ready to proceed with breast surgery. I would suggest go ahead and have all the children you want, and then see how you like your breast size and shape.

Saline breast implant removal under muscle - should I do it now before fertility treatment, or after I have baby #2?

Answers (4)

Answer: Removal

Answer: Removal

Recommended reading

Everything you need to know about Breast Implant Removal

Our mission is to create a world where every investment in modern beauty is Worth It.

Saline breast implant removal under muscle - should I do it now before fertility treatment, or after I have baby #2?

Answers (4)

Answer: Removal

Answer: Removal

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Removal

Our mission is to create a world where every investment in modern beauty is Worth It.