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?
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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April 26, 2023
Answer: Bottoming out Hi, thank you for sharing your question. It is possible that your implants have shifted lower in your breast pocket but it is hard to confirm solely based on photos. An in person complimentary evaluation may be beneficial.
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April 26, 2023
Answer: Bottoming out Hi, thank you for sharing your question. It is possible that your implants have shifted lower in your breast pocket but it is hard to confirm solely based on photos. An in person complimentary evaluation may be beneficial.
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