Age 31 female. 5’6 130. 700 cc under the muscle. (3 breast augmentations, no complications just 34AA to start) I also have size small hard silicone rubber butt implants submuscular. (Stanton) please do not recommend. My questions is; Can I remove all my implants in the same surgery and ab etch/ fat graft to the breasts the same day?? Might have breast implant illness not sure. Also willing to downsize slowly but must be great Dr. for Lipo if so. Thank you :)
Answer: Removing all implants and etching I see no reason why you can’t have all implants removed during the same procedure. Obviously removing gluteal implants needs to be done by someone who has a lot of implant experience and since most plastic surgeons don’t do gluteal implants that will limit the number of doctors. Simply removing breast implants is generally very simple and can be done using local anesthesia. If another implant is placed the most plastic surgeons would do this in the operating room first of the realty purposes primarily. I’ve never removed gluteal implants so I can’t speak on how easy or not that procedure would be but I would imagine that you could be done under local anesthesia and is not a complex procedure. I can speak with authority about Liposuction and fat grafting. I’ve been a board-certified plastic surgeon for over 20 years. The first decade was spent doing general plastic surgery in the second decade was spent doing only liposuction and fat transfer. what I’ve learned from 10 years of specializing in body contouring working only with fat is that delivering consistent quality liposuction and fed transfer results on a regular basis is far more difficult than most people believe it and this definitely includes plastic surgeons.Most plastic surgeons think they are far better at Liposuction than they actually are in the same is true for fat transfer. It’s possible to do fat transfer simultaneously as removing the implant and it can conceivably have advantages but also has disadvantages. The advantage is that the surgeon can do fat grafting coming in from inside the breast grafting right under the capsule without any risk. For example grafting fat while the implant is still in place but the patient at risk for damaging the implant. personally I like the graft fat in every single possible tissue plain at available since getting substantial results with fat grafting even in ideal circumstances still leads to fairly subtle results. if the tissue planes of the capsule are allowed to heal then that creates a potential plane to graft fat into. At the same time if the capsule is left in place there may be potential empty pockets of potential space and grafted Fat that ends up in these pockets will definitely not survive and cars isolated collections of fat necrosis. The biggest drawback to going from having large implants and waking up with no implants and grafted breast as you will have no reference to how successful or not the fat grafting procedure was. You may have pictures from what your breast look like before you had implants but they most likely don’t look like that today if your implants were to be removed. Without a baseline knowing what your breasts look like without implants you will have no idea how much or how little benefit the fat grafting procedure gave you. Most likely going from having large implants if you started with small breast than X planting and fat grafting will most likely leave you pretty disappointed. I don’t believe in pseudoscience and there are decades of solid international scientific studies backing the safety of breast implants. If someone has it in their mind that something is making them sick and they continue to believe it then it will eventually become true in their mind. I don’t think there are too many plastic surgeons who believe implants make women sick because the science doesn’t back it up. The DEA once took in plants off-the-market for many years but because all the signs prove that implants were safe we’re forced to put them back on even though the chief investigator for the DEA personally put his career on the line to keep implants aftermarket forever. Patience for not having problems with implants are better off leaving them in place. Gluteal implants when removed can cause new disfigurements they were unanticipated. This is less likely with an intramuscular implant that is of moderate size. I performed over 8000 liposuction procedures to date. last week I did six Liposuction cases. Personally I don’t believe in high definition Liposuction a.k.a. etching. The number of cases that turn out impressive is relatively rare and the number of people who end up simply looking weird and clearly looking like they’ve had surgery represents the majority of outcomes. Patients robbed for this procedure should think long and hard what will happen in the future with potential weight cane, changes due to potential pregnancy for women and what that would look like if they gain weight later in life. these things happen to lots of people. Edging only looks good on young fit know be in my patients and never looks good and people with skin laxity or those who have anything but modest amount of subcutaneous fat. Edging only looks good on young fit know be in my patients and never looks good and people with skin laxity or those who have anything but modest amount of subcutaneous fat. because high definition work is based on basically removing all the fat in certain areas the results are permanent and completely reversible. For that reason I personally do not perform high definition nor do I think it’s a good procedure. It certainly sounded good in concept and I’ve been to the lectures including the instructions by Alfredo Hoyos, MD. In the end the decision to keep or remove your implants is yours and one you need to make yourself. I’m not sure if talking to plastic surgeons is going to be helpful or not. When it comes to actually having surgical procedures by far the most important variable is choosing the most talented and experienced provider. General recommendations for finding the best providers include relying exclusively on in person consultations. During consultations ask each provider to show their entire collection before and after pictures. Simply seeing a handful of pre-selected pictures which most likely represent the best results of the providers career is insufficient to get a clear understanding of what average results look like in a hands of each provider. Instead ask each provider to open their portfolio and show you all or as many as they’re willing to in regards to before and after pictures. Ask specifically for the provider to show you pictures of patience with similar body characteristics to your own. Ask the provider to show pictures of excellent outcomes, average outcomes and less than outcomes. For common procedures like abdominal liposuction an experienced provider should have no difficulty showing an absolute minimum of at least 50 sets of before and after pictures. highly experienced surgeons will have hundreds or even thousands of before and after pictures for each procedure. Finally I recommend reading all reviews on various physician review websites avoiding providers for any significant number of justified negative reviews. The absence of justified negative reviews is more important and more telling than having an abundance of positive reviews. When in doubt slow down and continue having more consultations. Your post includes numerous surgical issues with decisions to be made. There are many different permutation outcomes with that many things being done. Like I mentioned earlier simply removing breast implants is a very simple non-invasive procedure that I’ve done numerous times in the office with local anesthesia. Placing implants is completely different. Good luck with your decisions. I wanted out continue having more consultations until you feel quite certain you found the most talented and experienced provider for the procedure you’re interested in. It is very true that some providers are better at certain procedures but not others. Best, Mats Hagstrom MD
Helpful 1 person found this helpful
Answer: Removing all implants and etching I see no reason why you can’t have all implants removed during the same procedure. Obviously removing gluteal implants needs to be done by someone who has a lot of implant experience and since most plastic surgeons don’t do gluteal implants that will limit the number of doctors. Simply removing breast implants is generally very simple and can be done using local anesthesia. If another implant is placed the most plastic surgeons would do this in the operating room first of the realty purposes primarily. I’ve never removed gluteal implants so I can’t speak on how easy or not that procedure would be but I would imagine that you could be done under local anesthesia and is not a complex procedure. I can speak with authority about Liposuction and fat grafting. I’ve been a board-certified plastic surgeon for over 20 years. The first decade was spent doing general plastic surgery in the second decade was spent doing only liposuction and fat transfer. what I’ve learned from 10 years of specializing in body contouring working only with fat is that delivering consistent quality liposuction and fed transfer results on a regular basis is far more difficult than most people believe it and this definitely includes plastic surgeons.Most plastic surgeons think they are far better at Liposuction than they actually are in the same is true for fat transfer. It’s possible to do fat transfer simultaneously as removing the implant and it can conceivably have advantages but also has disadvantages. The advantage is that the surgeon can do fat grafting coming in from inside the breast grafting right under the capsule without any risk. For example grafting fat while the implant is still in place but the patient at risk for damaging the implant. personally I like the graft fat in every single possible tissue plain at available since getting substantial results with fat grafting even in ideal circumstances still leads to fairly subtle results. if the tissue planes of the capsule are allowed to heal then that creates a potential plane to graft fat into. At the same time if the capsule is left in place there may be potential empty pockets of potential space and grafted Fat that ends up in these pockets will definitely not survive and cars isolated collections of fat necrosis. The biggest drawback to going from having large implants and waking up with no implants and grafted breast as you will have no reference to how successful or not the fat grafting procedure was. You may have pictures from what your breast look like before you had implants but they most likely don’t look like that today if your implants were to be removed. Without a baseline knowing what your breasts look like without implants you will have no idea how much or how little benefit the fat grafting procedure gave you. Most likely going from having large implants if you started with small breast than X planting and fat grafting will most likely leave you pretty disappointed. I don’t believe in pseudoscience and there are decades of solid international scientific studies backing the safety of breast implants. If someone has it in their mind that something is making them sick and they continue to believe it then it will eventually become true in their mind. I don’t think there are too many plastic surgeons who believe implants make women sick because the science doesn’t back it up. The DEA once took in plants off-the-market for many years but because all the signs prove that implants were safe we’re forced to put them back on even though the chief investigator for the DEA personally put his career on the line to keep implants aftermarket forever. Patience for not having problems with implants are better off leaving them in place. Gluteal implants when removed can cause new disfigurements they were unanticipated. This is less likely with an intramuscular implant that is of moderate size. I performed over 8000 liposuction procedures to date. last week I did six Liposuction cases. Personally I don’t believe in high definition Liposuction a.k.a. etching. The number of cases that turn out impressive is relatively rare and the number of people who end up simply looking weird and clearly looking like they’ve had surgery represents the majority of outcomes. Patients robbed for this procedure should think long and hard what will happen in the future with potential weight cane, changes due to potential pregnancy for women and what that would look like if they gain weight later in life. these things happen to lots of people. Edging only looks good on young fit know be in my patients and never looks good and people with skin laxity or those who have anything but modest amount of subcutaneous fat. Edging only looks good on young fit know be in my patients and never looks good and people with skin laxity or those who have anything but modest amount of subcutaneous fat. because high definition work is based on basically removing all the fat in certain areas the results are permanent and completely reversible. For that reason I personally do not perform high definition nor do I think it’s a good procedure. It certainly sounded good in concept and I’ve been to the lectures including the instructions by Alfredo Hoyos, MD. In the end the decision to keep or remove your implants is yours and one you need to make yourself. I’m not sure if talking to plastic surgeons is going to be helpful or not. When it comes to actually having surgical procedures by far the most important variable is choosing the most talented and experienced provider. General recommendations for finding the best providers include relying exclusively on in person consultations. During consultations ask each provider to show their entire collection before and after pictures. Simply seeing a handful of pre-selected pictures which most likely represent the best results of the providers career is insufficient to get a clear understanding of what average results look like in a hands of each provider. Instead ask each provider to open their portfolio and show you all or as many as they’re willing to in regards to before and after pictures. Ask specifically for the provider to show you pictures of patience with similar body characteristics to your own. Ask the provider to show pictures of excellent outcomes, average outcomes and less than outcomes. For common procedures like abdominal liposuction an experienced provider should have no difficulty showing an absolute minimum of at least 50 sets of before and after pictures. highly experienced surgeons will have hundreds or even thousands of before and after pictures for each procedure. Finally I recommend reading all reviews on various physician review websites avoiding providers for any significant number of justified negative reviews. The absence of justified negative reviews is more important and more telling than having an abundance of positive reviews. When in doubt slow down and continue having more consultations. Your post includes numerous surgical issues with decisions to be made. There are many different permutation outcomes with that many things being done. Like I mentioned earlier simply removing breast implants is a very simple non-invasive procedure that I’ve done numerous times in the office with local anesthesia. Placing implants is completely different. Good luck with your decisions. I wanted out continue having more consultations until you feel quite certain you found the most talented and experienced provider for the procedure you’re interested in. It is very true that some providers are better at certain procedures but not others. Best, Mats Hagstrom MD
Helpful 1 person found this helpful