Can I have my implants out without putting new ones in? (Photos)

Absolutely you can have your implants removed without augmenting again. Breast implants have been linked to two different types of cancer per the FDA. With getting a new set, you may be harming yourself with breast implant illness again. This is for both saline and silicone implants. There have been many ladies that fit your profile and are doing well after explant. 

Thank you for your question and the photos you provided. It does appear like you do not have a lot of breast tissue or fat to the upper chest. So when your breast implants are removed, they may look similar to 24 year old chest, prior to surgery, but now with saggier skin. You may want to consider fat grafting and skin tightening after breast implant removal. Make sure you consult with a board certified plastic surgeon.

Hello @Casey13, thank you for your question. Yes, you can have implants remove without putting new ones. The surgical procedure would imply a breast reconstruction, because taking out the volume that the prosthesis gave will require repositioning of the tissues. In this way, you would achieve an aesthetic result and if you want to have a little more volume a breast fat transfer would be another option after the explant. Due to the experience of so many explantation surgeries practiced in these 21 years I consider that the L-shaped incision is the minimum and smallest scar possible in this surgery. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD, FACS.

Implant removal with a breast lift (anchor pattern) would be an option if you are wiling to have a significant change in the size. Fat transfer (fat grafting) could be used to boost the remaining volume after the implant is removed.

Dear Casey13,
generally speaking, it is possible to remove implants without the need for the placement of new 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

You might want to go down to a size that fits your frame and tissue better, perhaps something like 350 cc's. The surgeon who examined you will be the best one to discuss this with and suggest a size. Remember, you were not happy before implants and will probably not be happy without implants.

You can elect to have your implants out at any time. The skin will be stretched out and it is likely a lift would be recommended. The surgeon will need breast tissue and/or an implant in order to reshape the breasts once the current implants are removed. If you do not have enough of your own natural tissue, a small implant may be recommended for a pleasing result.

You may have your breast implants removed. Then you must wait 8-12 months to allow the skin to contract and settle prior to doing a mastopexy with or without fat grafting.

Yes, you can have your implants out without putting new ones in. It will likely require more than one surgery to look acceptable, however. 575 cc implants are large, and the implants have stretched out your skin and compressed what breast tissue you have. Pregnancy has also stretched out your skin. Your best way forward is to remove your implants with complete en bloc capsulectomies at the first surgery. The removal of the entire implant capsule will allow your stretched out skin to contract as much as possible and your remaining breast tissue to decompress. Your breasts will look completely deflated, mutilated, and deformed after the first surgery, but the appearance will improve over the subsequent weeks and months as your skin shrinks and your breast tissue fluffs back to their natural state. After several months or even a year, you can reevaluate the appearance of your breasts. At that time, you can undergo bilateral breast lifts (mastopexies) and possibly fat grafting to improve the appearance of your breasts. The breast lifts will remove the excess skin so that your breasts are less droopy. And it is necessary to wait as long as possible for the second surgery to give the remaining breast tissue a chance to decompress. Otherwise, if you try to do everything in one surgery, you will essentially be trying to create breasts with skin only, and you will be throwing away any compressed breast tissue that you cannot get back. Although it’s hard to live with deflated breasts for the transitional time, it will ultimately give you the best result. You can also do fat grafting at the second stage once you know what you’re working with. You may have to undergo more than one round of fat grafting to get the breast size and shape you want.