Bulge after implant removal. How can this be treated?

It’s completely understandable to feel frustrated when results don’t align with your expectations, especially after undergoing surgery to feel better about your appearance.
The bulge you’re describing can sometimes appear after implant removal and fat transfer due to changes in tissue distribution, skin laxity, or even the positioning of transferred fat. Even subtle shifts in body composition or surgical adjustments can lead to noticeable bulges in areas previously unaffected, such as around the bra or swimwear line.
Common reasons include: • Fat Transfer Positioning: Sometimes fat may settle differently from how it was intended or expected. • Skin and Tissue Laxity: Removing implants can cause previously stretched skin to sag or redistribute unevenly. • Residual Scar Tissue: Internal scarring can cause localized irregularities or bulges.
Addressing this typically involves options like: • Targeted Liposuction: Carefully performed liposuction to remove small, unwanted fat pockets. • Skin-Tightening Treatments: Radiofrequency or minimally invasive tightening procedures. • Revision Surgery: Minor surgical revisions to smooth out or re-contour affected areas.
A detailed in-person evaluation with a surgeon experienced in post-explant revisions would help identify the most suitable approach for achieving a smoother, more natural appearance.
I hope this provides clarity on possible next steps. Consulting with your surgeon or seeking a second opinion would be beneficial to find a tailored solution.
— Güray Yeşiladalı, MD

Fabulous9098, it is not uncommon that my patients, especially ones with Breast Implant Illness, gain weight in their breasts and surrounding tissues over time. It is entirely possible that this area of concern may be amenable to liposuction of the lateral chest wall tissues. Sometimes, this may also require excision of some skin in cases where the original lift was not aggressive enough at removing skin.

Hello, I'm sorry to hear that you're feeling this way after your surgery. It can be really frustrating when the results don't align with your expectations. Your feelings are valid and it is important to address them with your plastic surgeon or another board certified plastic surgery. Please watch the attached video that explains in detail to answer your question specifically.