I’m 5’6” 135lb with athletic build. I had very thin skin and very little breast tissue (32AA) with a chest split from lifting and the desire for a more feminine look. I ended up getting 450 cc high profile silicone under the muscle implants 7 years ago. Since then, I had 2 pregnancies and breastfed two babies. My current weight is what it was at time of implants. Now, I believe the implants have bottomed out and are heavy. What can I expect if I choose to explant? Will I need a lift?
Answer: Explantation Thank you for your question. the breast tissue that you have is going to be even less than you had pre-implantation. Overtime and after breast-feeding, the breast volume droops, and also decreases in size. With that being said, you will need a lift or else you will be extremely flat with loose hanging skin. In order to improve the shape and add some volume you can choose to either put in another small, implant or add some fat grafting, or even combine the two techniques. Good luck.
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Answer: Explantation Thank you for your question. the breast tissue that you have is going to be even less than you had pre-implantation. Overtime and after breast-feeding, the breast volume droops, and also decreases in size. With that being said, you will need a lift or else you will be extremely flat with loose hanging skin. In order to improve the shape and add some volume you can choose to either put in another small, implant or add some fat grafting, or even combine the two techniques. Good luck.
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Answer: Surgery You might want to consider going down in size and tightening your inferior and lateral pockets. If just removed, you will be very flat with sagging skin. You may not have enough tissue under your nipple to allow a lift. Your tissue, however, is not supporting the weight of these heavy implants. Consider going down to 300 cc's. Remember, you were not happy with your breasts prior to surgery and may not be happy once removed.
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Answer: Surgery You might want to consider going down in size and tightening your inferior and lateral pockets. If just removed, you will be very flat with sagging skin. You may not have enough tissue under your nipple to allow a lift. Your tissue, however, is not supporting the weight of these heavy implants. Consider going down to 300 cc's. Remember, you were not happy with your breasts prior to surgery and may not be happy once removed.
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May 6, 2023
Answer: Bottoming out Dear saraaa_,
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May 6, 2023
Answer: Bottoming out Dear saraaa_,
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April 30, 2023
Answer: Bottoming out It does appear from the photos submitted that your implants are bottoming out. If you elect to have the implants removed the skin will retract to a degree. However based on the information and photos provided it is likely that a lift would be indicated in order to correct shape and remove excess skin. I encourage you to visit with a board certified plastic surgeon near you for an in person evaluation.
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April 30, 2023
Answer: Bottoming out It does appear from the photos submitted that your implants are bottoming out. If you elect to have the implants removed the skin will retract to a degree. However based on the information and photos provided it is likely that a lift would be indicated in order to correct shape and remove excess skin. I encourage you to visit with a board certified plastic surgeon near you for an in person evaluation.
Helpful
April 30, 2023
Answer: Depends It depends how thin the breast tissue over your implants is if you could get/would benefit from a lift at the time of explantation. You don't have ptosis now, but will almost certainly have some loose skin after implant removal. A great alternative route that might decrease the need for a lift (and retain some fullness in your breast after the implant is removed) would be to fat graft your breast at the time of explanation.
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April 30, 2023
Answer: Depends It depends how thin the breast tissue over your implants is if you could get/would benefit from a lift at the time of explantation. You don't have ptosis now, but will almost certainly have some loose skin after implant removal. A great alternative route that might decrease the need for a lift (and retain some fullness in your breast after the implant is removed) would be to fat graft your breast at the time of explanation.
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April 28, 2023
Answer: Bottoming Out? Managing expectations Hello @saraaa_, thank you for your question. The outcome depends on what you want and what you discuss with the specialist. If you choose and explant the prosthesis will be removed and total capsulectomy must be perform to avoid inflammatory processes in the future (even if you do not have BII symptoms, is better to be safe). After removing the implants, in my patients I perform an aesthetic breast reconstruction with the BRALAN technique (Breast Reconstruction Anatomical Lift Augmentation) to improve the upper part of the breast and the middle part and produce better projection of the upper pole of the breast. So the patient will have anatomical shape with less breast volume. To shed more light on this, I have attached a video. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).
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April 28, 2023
Answer: Bottoming Out? Managing expectations Hello @saraaa_, thank you for your question. The outcome depends on what you want and what you discuss with the specialist. If you choose and explant the prosthesis will be removed and total capsulectomy must be perform to avoid inflammatory processes in the future (even if you do not have BII symptoms, is better to be safe). After removing the implants, in my patients I perform an aesthetic breast reconstruction with the BRALAN technique (Breast Reconstruction Anatomical Lift Augmentation) to improve the upper part of the breast and the middle part and produce better projection of the upper pole of the breast. So the patient will have anatomical shape with less breast volume. To shed more light on this, I have attached a video. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).
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