What can I expect after 700 cc gel implant removal with no implant exchange? Implants are 7 years old. (photo)

Thank you for your questions and picture! Unfortunately this is really a question that requires a physical exam. If you had any breast tissue before the surgery than that tissue will still be there and perhaps you can have a board certified plastic surgeon perform a lift at the same time as the removal to remove the skin that stretched around the implant. You could always option to use your own fat transferred to your breasts to create some shape and volume once the implants are gone.  If not your own fat, It would be a good idea to have some small implants on hand just in case the surgeon decides you would benefit from an implant for the shape after he has removed the old ones. For this reason, it is important to find a surgeon who you are comfortable with and can trust to do the right thing for you. I highly recommend consulting with a board certified plastic surgeon to discuss your concerns and get an in person exam to create the best treatment plan for you! 

Removing a 700cc implant leaves a large void.  Reconstruction can be difficult if there is little tissue. But the remaining tissue can be manipulated so that the breast will have a natural shape with the nipple/areola at the apex of the newly created "mound".
Another option is to remove the 700cc implants and replace them with smaller (300-350cc) implants, close the size of the "pocket" and perform a mastopexy to give you an ideal shape and size!
Good Luck!

Thank you for your question and for the explanation of the background.  700 cc is a large implant and I can understand the impact of 1400 cc on your neck and back. As long as you are not concerned with the final size of your breast after the removal of the implants, I believe that the mastopexy / uplift with be the best course of action to enhance the shape and bring back proportion and equilibrium to your body. All the bestAndrea Marando, Manchester and London, UK

This is a great question and one asked by many. After breast implants are removed, the body does a great job of natural skin contraction within the first 6-8 weeks after removal. We often encourage patients who want their implants out but who are unsure about what the 'next steps' are to move slow. We will remove the implants. Give the body time to heal and skin time to contract (6-8 weeks) before we discuss the next steps. A lot of the time, women are happy with results. Sometimes a mastopexy/or breast lift is discussed. It is nice both physically and mentally to move slow during these processes. 
Good luck to you. 

It is impossible to give a good opinion without an in-person exam. But most likely you will have loose skin and may need a breast lift with either a small implant or fat transfer. Consult with a couple of board certified plastic surgeons to learn what options are available to you. Good luck.

Hello! Thank you for your question and for providing pictures.
After having an implant, specially a large volume as 700cc, the skin and breast tissue expands and becomes thinner (also the muscle if the implant was placed behind it). So if you have a 700cc implant removed you will have a lot of extra skin and you will not have the same breast volume you had before the implants because the tissue became thinner and some volume is lost. I highly recommend having the 700cc implants removed and at the same time a breast lift with a small implant to maintain shape and volume (around 300cc) but that won't cause neck and back pain. You can also have fat transfer to breast although it may not provide enough volume, shape or support compared to an implant.

I hope this helps. Wish you the best

Hello and thank you for your question and sharing your photo. It's hard to give you any specific advice with the uploaded pictures. Generally speaking, after removal of breast implants, breasts will look smaller and deflated. Many patients will need a breast lift after breast implants removal, which can be combined with liposuction and fat grafting to breasts to enhance the volume. I
would seek consultation with a board-certified plastic surgeon for a full
evaluation and advice.
Best
wishes and good luck,
Pejman
Aflaki, M.D.
Johns
Hopkins-trained double board-certified plastic surgeon

Hi
Thank you for your question. Lately, we get a lot of questions about implant removal, exchange, fat transfer instead implants etc. Each case is different. From the picture you uploaded, I honestly cannot give you any recommendations on how to proceed. It is necessary to examine you in person to see how much breast tissue you have left, how much your skin got stretched (700cc are big implants), we need to know which bra size you had before the breast augmentation and quite some other information to go ahead and make an accurate recommendation. I would recommend you to consult with a board-certified plastic and reconstructive surgeon in person. Maybe it would be best if you go back to the one who did your breast augmentation because he should still have your data and pictures from before on file.
Good luck.
Dr Marco Carmona MD

Hello and thank you for your question. When a patient comes into my office and asks me about removing their implants and not replacing them, they must be carefully counselled so that their expectations for what to expect postoperatively are reasonable. It is difficult to predict exactly what your breasts will look like after removing implants. With the size of your implants, I would certainly expect your skin to have been stretched and changed. In the worst case scenario (other than potential risks of surgery), you would have the implants removed, and you would be unhappy with the lack of volume and sagging of your breasts. You would require additional surgery, like others have suggested, such as a breast lift with or without implant and with or without fat grafting to the breasts if you would want the sag and volume loss to be corrected.I think it is most important for you to be emotionally ready for the change in the appearance of your breasts. Your implants offer so much fullness to your breasts that it will be more of a drastic change. Women with breast implants, especially after 7 years, are used to a certain look, and when you change this, it can change your self image. I would carefully consider the change in your appearance and make sure that you are with a board certified plastic surgeon who can advise you and take care of you.

Thank you for your question. With removal of implants that size, there will certainly be a " deflated" look. The overall shape will be determined how much breast tissue you have and how the skin responds afterward - does it have good elasticity vs permanent stretch. I will usually do a lift at the same time, add some fat (even in very thin patients I can usually find enough fat), and save all the tissues minus the skin to create a nice shape. 

You don't have to think too hard right now. Probably the best way to go is just have the implants removed and plan on waiting six months before you consider anything. Depending on your exam at that time, there are a number of possible ways to proceed. You may want to do nothing, consider a breast lift, consider fat grafting, or other. Can decide with your plastic surgeon what would best meet your expectations.