Should I consider Mastopexy after explant? (photos)

Question

I had 400cc Silicone implants placed above the muscle in 2015. In 2016, I had a mastopexy. I am now wanting my implants removed but unsure if I will need another lift! I had size D breasts before initial implants (I was told that would help the ptosis and why I initially got implants instead of just the lift.) I know this is my personal choice, but torn on the decision.

Camille Cash, MD · Answer

Based on your photos and provided information you should consider a mastopexy with your implant removal.  This will help to reshape your breasts and remove excess skin after explant.  Your surgeon will be able to provide additional information after an in person exam.

Alan Gonzalez, MD, FACS · Answer

Hello @tspain14, thank you for your question. The outcome depends on what you expect and what you discuss with the surgeon who will perform the surgery. I believe that the best possible result for an explantation is to remove the prostheses, remove the capsules, and perform a breast reconstruction with the BRALAN technique (Breast Reconstruction Anatomical Lift Augmentation). For more information and recommendations, it is prudent to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Gary M. Horndeski, MD · Answer

The technique I recommend is explantation and lift 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 (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear tspain14,
it is hard to tell for sure without an examination. There is a chance that you will need a breast lift after removal of implants. 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

Garrett A. Wirth, MD, MS, FACS · Answer

In general a lift procedure at the time of explant will offer most patients the best long term results.  Also, the larger the implants removed, the more I tend to recommend lift as well.  I think you could be very happy with doing the explant and lift together.  A formal consultation is necessary and I recommend you work with a Board Certified Plastic Surgeon.

Should I consider Mastopexy after explant? (photos)

Answers (5)