I had breast augmentation 15 years ago with saline implants; left implant was replaced with silicone 8 years ago due to capsular contracture. Both implants (430cc saline, 445cc silicone) will be removed soon, with fat transfer (150cc per breast) without capsulectomy. Initially flat-chested at 150lbs during my first surgery, 34D/36D at 165lbs after the left implant replacement surgery; now 225lbs, wearing 42DDD/E. Hoping for full C cups post explant? Is this realistic or should I expect smaller?
April 17, 2024
Answer: Question Regarding Expected Breast Size After Explant. Hi @anansi2u2, thank you for your question. In my experience, all explantations must be accompanied by a total capsulectomy, because the capsules can cause future inflammatory processes if left in the body. From the hundreds of breast implant removals I have performed I can attest that the capsules are not reabsorbed by the body. This being so, my surgical intervention would initially involve a breast reconstruction, since removing the volume that gave the prosthesis will require repositioning the tissues. In this way, you would get an aesthetic result with which you would be happy, since it is not convenient to make fat transfer to the breasts at the same time as the explantation, it is advisable to wait 4 to 6 months to prevent the fat from dying or risk of infection. In this case the incision would be periareolar in an L shape to avoid making a T shape. It is best to consult with one or more board certified plastic surgeons for more information and options tailored specifically to your needs. To shed more light on this, I have included a video and link to one of my articles, best wishes!
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April 17, 2024
Answer: Question Regarding Expected Breast Size After Explant. Hi @anansi2u2, thank you for your question. In my experience, all explantations must be accompanied by a total capsulectomy, because the capsules can cause future inflammatory processes if left in the body. From the hundreds of breast implant removals I have performed I can attest that the capsules are not reabsorbed by the body. This being so, my surgical intervention would initially involve a breast reconstruction, since removing the volume that gave the prosthesis will require repositioning the tissues. In this way, you would get an aesthetic result with which you would be happy, since it is not convenient to make fat transfer to the breasts at the same time as the explantation, it is advisable to wait 4 to 6 months to prevent the fat from dying or risk of infection. In this case the incision would be periareolar in an L shape to avoid making a T shape. It is best to consult with one or more board certified plastic surgeons for more information and options tailored specifically to your needs. To shed more light on this, I have included a video and link to one of my articles, best wishes!
Helpful
April 8, 2024
Answer: Cup size You will lose much of your breast volume when the implants are removed. Initially the fat transfer will provide some of the lost volume, but it may not all take so it's difficult to predict where you'll end up. You may want to consider a smaller implant instead if you want a more predictable determination in cup size.
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April 8, 2024
Answer: Cup size You will lose much of your breast volume when the implants are removed. Initially the fat transfer will provide some of the lost volume, but it may not all take so it's difficult to predict where you'll end up. You may want to consider a smaller implant instead if you want a more predictable determination in cup size.
Helpful
