Pseudoptosis after explant - Is there any possibility subglandular smallish implants could work without needing a lift? (Photos)

Question

Hi. I had 500cc dual plane saline implants placed in 2008 and removed with local anesthesia only in 2016 (capsules were left in). Now after 2 kids my breasts are deflated and I want them fuller, but I do not want general anesthesia (long story). I have a surgeon willing to do subglandular while I’m awake but I’m worried it will cause worse sag or waterfall deformity. Is there any possibility subglandular smallish implants could work without needing a lift?

Emre Guvercin, MD, FEBOPRAS · Answer

Thank you for sharing your surgical history and preferences &mdash; your situation is more common than you might think, especially after kids and implant removal.Based on what you’ve described, it sounds like you now have:
True breast ptosis (where the nipple sits below the fold),Loss of volume and projection,And a preference to avoid general anesthesia.Here’s the key point: in true ptosis cases, placing a small subglandular implant without a lift won’t correct the drooping &mdash; and can sometimes make the breast appear more bottom-heavy or “waterfall”-like, especially if the nipple stays low while the implant pushes forward.If you're trying to stay implant-only and under local anesthesia, the results will likely fall short of your goal.
That said, you still have options:
A low-volume implant combined with a tailored lift (which can sometimes be done under sedation or local with nerve blocks in experienced hands)Or even an implant-free lift, especially if you're satisfied with a modest size and want a perkier shapeIn my practice, I use a technique called the Push-Up Lift, which reshapes and lifts your natural tissue without relying on an implant for support &mdash; and can often be adapted to minimize the need for general anesthesia.The best long-term result always comes from matching the procedure to your anatomy, rather than forcing a limited approach for convenience. You’re not out of options &mdash; you just need a plan that respects both your body and your preferences.

Gary M. Horndeski, MD · Answer

You will need a breast lift using The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them 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.

Best Wishes,

Gary Horndeski, M.D.

Camille Cash, MD · Answer

More information is needed to determine if you could have an acceptable result.  Discuss with your surgeon what size you are wanting to be and how you want to look after surgery.  If you are wanting a full, perky look you will likely need to consider a lift.

Daniel Barrett, MD · Answer

Dear bmd07d88,

determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Darryl J. Blinski, MD · Answer

Based on the post of photos, taking the photos holding a camera into a mirror their shadowing, so cannot see complete breast recommend have somebody take your photos so there’s no shadowing and repost or do a virtual consultation. The best new concept that is FDA approved is the use of the FDA approved fat injection called ALLOCLAE you would need 100 cc per side of these injections the fee to do that would be $30,000 Because the product has a high cost. This can be done under local anesthesia. Best to virtual consult with for a better explanation regards.

Pseudoptosis after explant - Is there any possibility subglandular smallish implants could work without needing a lift? (Photos)

Answers (6)

Answer: Breat implants or lift

Answer: Breat implants or lift

Answer: Explant post two pregnancies small breast no surgery other options

Answer: Explant post two pregnancies small breast no surgery other options

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.

Pseudoptosis after explant - Is there any possibility subglandular smallish implants could work without needing a lift? (Photos)

Answers (6)

Answer: Breat implants or lift

Answer: Breat implants or lift

Answer: Explant post two pregnancies small breast no surgery other options

Answer: Explant post two pregnancies small breast no surgery other options

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.