Looking for advice on implant removal of 400cc submuscular implants , lift and fat transfer to breasts, 5ft3, 105lbs (Photo)

Yes, I would do this in stages: Removal and lift, followed by fat.   I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Thank you for your question and posting appropriate pictures. You seem to be a very good candidate for breast implant removal and fat grafting in the same operative procedure. I find you have the best amount of fat grafting take at the time of most expansion which is when you initially Remove them. I have done staged and immediate fat grafting and I find immediate with better take and shape. Of course you should meet with a board-certified plastic surgeon with extensive experience doing this. 

The technique I recommend is explantation 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 and the ability to breast feed are maintained, if not injured during your previous surgery.  At the same time or later, fat transfers can be performed if additional volume is desired.        Best Wishes,Gary Horndeski, M.D.

Dear eirraceirrac,
My preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Due to your petite size you will want to have a detailed discussion with your surgeon about your goals.  It may be that a small implant is a better choice as you may not have enough fat to harvest depending on the volume you are desiring after surgery.  See a board certified plastic surgeon in your area to learn more.

I answered this already:
If your breast implants are large, then it is better to wait and allow for the tissue pocket to close down first. I would wait at least 4 months and maybe longer. I prefer implants over fat grafting to obtain a reliable result.

Hi and welcome to our forum!Fat transfer requires a vascular bed upon which the grafted fat survives. For this reason, I recommend implant removal alone, allowing the tissues to remodel and heal for 6-12 months, then consider breast augmentation with autologous fat. The asymmetry demonstrated in the preop photos can be dealt with at that time as well....A lift may or may not be required.Best wishes...

Thanks for the question.  I would consider removing the implants first, then waiting up to 6 months and re-evaluating your breasts to see if a lift is necessary.  You may do the fat transfer anytime after this if desired.Best of luck.Dr T

Thank you for your question. I would recommend removing the implants first and allowing your breast to heal for 6 months to a year. Your breasts should be able to shrink backup a bit . By delaying the lift , it will allow the smallest scar possible if a lift is needed. The fat grafting could possibly fill the breasts enough that you may not need a lift in the end. Best of luck with your procedure.

When the submuscular implants are removed the muscle will flatten against the chest wall pulling the breast tissue with it and there is a good chance no lift will be needed. We discouurage patients from doing a lift at the time of explant and more than half of the patients wind up satisfied with their look and never get a lift so it would have been money wasted and unnecessary scarring. Fat transfer is still in its infancy and unpredictable but at its best you could expect 1/2 to 1 cupsize longterm enlargement. You may be better off with smaller implants so be sure you go over all your options with an experienced surgeon.