I am having my breast implants removed due to a rupture and also because I am no longer interested in having them :) I have consulted with two surgeons. One recommends waiting six months post implant for a lift. The other recommended a lift at time of implant. I am 375cc mentor gel under muscle. Was 34B prior now 34D ( bigger than i wanted)
Answer: Is it preferable to wait for a lift after an explant and why? Is there any way of knowing if you will need one? Each surgeon will have different comfort levels with performing a lift at the time of explant or not. Personally I would not make a patient wait except in specific cases where it really doesn't look like they will need one, or in cases where the implants are oversized and the skin has stretched to the point that I am worried about the blood supply. These are both pretty rare circumstances so generally I feel it makes the most sense to have one procedure to remove your implants and lift your breasts so you can be done with it and move on with your life. Hope that helps!
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Answer: Is it preferable to wait for a lift after an explant and why? Is there any way of knowing if you will need one? Each surgeon will have different comfort levels with performing a lift at the time of explant or not. Personally I would not make a patient wait except in specific cases where it really doesn't look like they will need one, or in cases where the implants are oversized and the skin has stretched to the point that I am worried about the blood supply. These are both pretty rare circumstances so generally I feel it makes the most sense to have one procedure to remove your implants and lift your breasts so you can be done with it and move on with your life. Hope that helps!
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August 20, 2021
Answer: Explant and The Bellesoma Lift The technique I recommend is explantation and a 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. At the same time or later, fat transfers can be performed if additional volume is desired.Best Wishes,Gary Horndeski, M.D.
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August 20, 2021
Answer: Explant and The Bellesoma Lift The technique I recommend is explantation and a 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. At the same time or later, fat transfers can be performed if additional volume is desired.Best Wishes,Gary Horndeski, M.D.
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September 19, 2019
Answer: Breast lift Hi, thank you for your question. Although a breast lift can be done at the same time as an explant, given that it’s hard to predict the perfusion to the nipple and provide an accurate prediction of the kind of lift required, my recommendation would be to wait 6 months before the lift. You may not need one. Always consult with a board certified plastic surgeon.I hope this helps. Best of luck!
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September 19, 2019
Answer: Breast lift Hi, thank you for your question. Although a breast lift can be done at the same time as an explant, given that it’s hard to predict the perfusion to the nipple and provide an accurate prediction of the kind of lift required, my recommendation would be to wait 6 months before the lift. You may not need one. Always consult with a board certified plastic surgeon.I hope this helps. Best of luck!
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September 19, 2019
Answer: Is it preferable to wait for a lift after an explant and why? Is there any way of knowing if you will need one? (photos) Thank you for sharing your excellent question and photographs. Waiting after removal allows your tissues time to heal and retract to their new shape/appearance. This allows you to then consider the improvement that a lift would entertain, as well as allow for a more predictable result. Although nothing replaces an in-person examination it appears that you will have some breast tissue sagging, along with a lower nipple placement with explant alone, but no one can offer certainty as to what your outcome would be with explant alone. Hope this helps.
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September 19, 2019
Answer: Is it preferable to wait for a lift after an explant and why? Is there any way of knowing if you will need one? (photos) Thank you for sharing your excellent question and photographs. Waiting after removal allows your tissues time to heal and retract to their new shape/appearance. This allows you to then consider the improvement that a lift would entertain, as well as allow for a more predictable result. Although nothing replaces an in-person examination it appears that you will have some breast tissue sagging, along with a lower nipple placement with explant alone, but no one can offer certainty as to what your outcome would be with explant alone. Hope this helps.
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September 19, 2019
Answer: Explant and lift It is difficult to make 100% accurate predictions following explant. There are a number of factors to consider including age (the breast changes over time irregardless of augmentation), weight change, skin stretch and residual elasticity. Following removal, one can expect: -Loss of volume- Not an exact correlation between pre- and post augmentation due to the changes over time. You may be bigger or smaller than you remember. -Ptosis/sagging-Ptosis develops over time and may be worsened by the presence of an implant. If a patient has pre-explant sagging, removal is likely to worsen this to a certain extent. If there is no ptosis, it does not necessarily mean there will be no ptosis after removal. -Skin laxity/stretch- There is inherent skin elasticity which will allow for some measure of snap back. However, the greater the volume differential pre- and post- the more likely there will be excess skin. In my experience, it is usually a safe assumption that there will be some changes post removal which oftentimes may necessitate further operative intervention (i.e. lift), however this is often a function of size and length of time post op. Small implants which have only been in place for a short period will lead to an improved response/recoil post removal. With regards to your specific question, without an in-person exam it is difficult to make a prediction. Much will depend how long they have been in place, how large, and how much you have changed over time. Delay may allow you to avoid the additional scar burden. However, you run the risk of an additional procedure to reach your desired goal. As always, discuss your concerns with a board certified plastic surgeon (ABPS). Donovan Rosas MD Board Certified by the American Board of Plastic Surgery Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons RealSelf Verified MemberRealSelf Top 100 RealSelf Hall of Fame
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September 19, 2019
Answer: Explant and lift It is difficult to make 100% accurate predictions following explant. There are a number of factors to consider including age (the breast changes over time irregardless of augmentation), weight change, skin stretch and residual elasticity. Following removal, one can expect: -Loss of volume- Not an exact correlation between pre- and post augmentation due to the changes over time. You may be bigger or smaller than you remember. -Ptosis/sagging-Ptosis develops over time and may be worsened by the presence of an implant. If a patient has pre-explant sagging, removal is likely to worsen this to a certain extent. If there is no ptosis, it does not necessarily mean there will be no ptosis after removal. -Skin laxity/stretch- There is inherent skin elasticity which will allow for some measure of snap back. However, the greater the volume differential pre- and post- the more likely there will be excess skin. In my experience, it is usually a safe assumption that there will be some changes post removal which oftentimes may necessitate further operative intervention (i.e. lift), however this is often a function of size and length of time post op. Small implants which have only been in place for a short period will lead to an improved response/recoil post removal. With regards to your specific question, without an in-person exam it is difficult to make a prediction. Much will depend how long they have been in place, how large, and how much you have changed over time. Delay may allow you to avoid the additional scar burden. However, you run the risk of an additional procedure to reach your desired goal. As always, discuss your concerns with a board certified plastic surgeon (ABPS). Donovan Rosas MD Board Certified by the American Board of Plastic Surgery Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons RealSelf Verified MemberRealSelf Top 100 RealSelf Hall of Fame
Helpful 1 person found this helpful