is there anything that can be done without an implant? (photos)

Have three kids, had 9 year old 400 cc implants removed with areolar lift about five month's ago, lots of breast tissue ,mucles distortions prevent push up bras to work alot of wrinkles.when i lify my arms muscles stops at the nipples baggy at the bottom

Doctor Answers 5

Improve my breasts after 3 children and removal of 400 cc implants

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Thank you for asking about your breast implant removal.

  • Yes, a lot can be done.
  • First of all you need a vertical breast lift to restore the breast shape.
  • Second, you can have some fat transferred to the breast to add a little volume at the same time.
  • I am surprised your surgeon didn't discuss this with you before removing the implants - unless at that time you felt you didn't want any additional surgery.

Always see a Board Certified Plastic Surgeon. Best wishes  - Elizabeth Morgan MD PHD FACS

Is there anything that can be done without an implant?

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Thank you for sharing your question and photographs.  It appears that scar tissue has caused some infolding and tethering of your areolar lift incision sites, while the wrinkles are a result of stretched out breast skin.  Depending on your goal outcome you can have a more formal lift procedure performed to redo your areolar scar and excess skin, a scar revision to correct the areolar portion or an implant placement where both issues can be addressed.  Hope this helps.

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 80 reviews

Breast shaping

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You could consider a lift which will improve the shape of the breasts.  If you do not want an implant, you could  consider some fat grafting to help with volume.  Discuss your options with a board certified plastic surgeon in your area.

Camille Cash, MD
Houston Plastic Surgeon
4.9 out of 5 stars 36 reviews

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#Explant #BreastImplantRemoval - anything that can be done?

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You would most likely benefit from augmentation (with an implant and/or fat injections) and a more formal lift.  The amount of lift and reshaping that can be achieved by just an areolar lift is limited.  You can also consider doing just a lift, and adding volume at another stage if you want to.  You should of course be assessed in person by a board-certified plastic surgeon and follow his or her recommendations.  I hope that this helps and good luck.  Dr. Alan Engler, Member of #RealSelf500

Secondary breast surgery with lift

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The lift will definitely help with shape and skin laxity. I do think an implant would help with contour and fullness. Having said that, it may be possible to do a lift without implants, maybe even considering some fat transfer to smooth contour and add some volume.

Good luck!

Michele A. Shermak, MD
Baltimore Plastic Surgeon
4.8 out of 5 stars 57 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.