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Posted underBreast Implant Removal q&a

How to get a decent flat closure? (Photo)

tubulaJul 14, 2020
My subpectoral implants after mastectomy are uncomfortable and look bizarre in any position except standing up. Where can I find a PS who can make me look at least smooth and flat? I found out what I have is called "animation deformity". My PS told me I look fine. What can I do to restore my body image at least a little?

Answers (4)

From board-certified doctors and trusted medical professionals
Dr. Kenneth Hughes, MD
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Dr. Kenneth Hughes, MD
Board Certified Plastic Surgeon
4.7 | 664 Reviews
Answered on Aug 17, 2020
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Dr. Connie Hiers, MD, FACS
Dr. Connie Hiers, MD, FACS
Board Certified Plastic Surgeon
Answered on Dec 5, 2024
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Dr. Kevin Tehrani, MD, FACS
Dr. Kevin Tehrani, MD, FACS
Board Certified Plastic Surgeon
Answered on Jul 18, 2020
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Dr. Douglas J. Raskin, MD (retired)
Dr. Douglas J. Raskin, MD (retired)
Board Certified Plastic Surgeon
Answered on Jul 18, 2020
Answer
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Gary M. Horndeski, MD

Implants produce a capsule around them and the capsule may be normal or not.  If a surgeon thinks the capsule is abnormal then it will need to be removed.  An abnormality may be calcification or infection.  Removing the capsule often removes volume and can injury blood and nerve supply.  It is ...

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Kenneth Hughes, MD

Leaving a capsule behind is preferred if it is thin and pliable. If there are calcific components, or silicone granulomatous material, or if the capsule is deforming the breast tissue, then removal of the capsule may be warranted.  Removing a capsule unnecessarily could...

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The smaller the implant and the less the amount of time it has been since placement, the greater the chance the breasts will return to their preoperative state. It is very difficult to predict breast size following explant b/c breast implants and weight fluctuations...

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Kenneth Hughes, MD

Any foreign substance in the body can cause an autoimmune reaction, including breast implants. Though not well documented, breast implants have been thought to exacerbate existing Hashimoto's, so discuss the pros and cons with your PS. The FDA says anyone with an Allergan BIOCELL textured...

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Eric Wright, MD

Hi Celebrated 6724, there are numerous variables that determine the appearance after implant removal. It would be reasonable to start with the implant removal only. You have several options following the implant removal if you are unhappy. Fat grafting or some type of skin/breast reshaping...

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Kenneth Hughes, MD

Calcific capsules or capsules that are distorting anatomy should probably be removed during the implant removal procedure.  Leaving a capsule behind is preferred if it is thin and pliable. 

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