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?
Answer: Explant with Bellesoma Method At size 42, each 300 cc of implant removed corresponds to 1 cup size change. If you are a 42 DDD then you may only go down 1 to 2 cup sizes. More important than implant and fat transfer is the breast lift. The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.
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Answer: Explant with Bellesoma Method At size 42, each 300 cc of implant removed corresponds to 1 cup size change. If you are a 42 DDD then you may only go down 1 to 2 cup sizes. More important than implant and fat transfer is the breast lift. The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.
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Answer: Breast Size After Explant Hello, thank you for your question. Transitioning to fat transfer after implant removal can yield different results, and there are several factors to consider regarding your desired outcome. Please see the attached video that discusses your situation and question in detail. Ultimately, having an open discussion with multiple board-certified plastic surgeons about your goals and concerns will help ensure that you are on the same page regarding the outcome and doing what is best for yourself!
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Answer: Breast Size After Explant Hello, thank you for your question. Transitioning to fat transfer after implant removal can yield different results, and there are several factors to consider regarding your desired outcome. Please see the attached video that discusses your situation and question in detail. Ultimately, having an open discussion with multiple board-certified plastic surgeons about your goals and concerns will help ensure that you are on the same page regarding the outcome and doing what is best for yourself!
Helpful
April 28, 2024
Answer: Expected Breast Size After Explant Dear anansi2u2,
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April 28, 2024
Answer: Expected Breast Size After Explant Dear anansi2u2,
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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!
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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.
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