Will explant of 19 year old implants then having lift w/fat transfer help to not have natural tuberous breasts? (Photos)

Hello and thank you for your question and sharing your photo. It is unlikely that you go back to your original tuberous breasts after removal. Generally speaking, after removal of breast implants, breasts will look smaller and deflated. Patients with good skin elasticity have a better chance for skin contraction and breasts returning back to what they looked like prior to their augmentation. Implant size and the amount of time since implant placement are other key factors that determine how your breasts will look like after implant removal. Generally speaking, options include removal and observation, removal and breast lift,  removal and fat transfer for a natural volume enhancement, and finally removal and lift and fat transfer. You should discuss all these options with your surgeon. If you are unsure, you can just have the implants removed and decide what you would like to do after a period of observation. 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

Great question! It’s been such a long time that your breasts should not revert back to the tuberous deformity that used to have. The reason is during a tuberous breasts procedure the tissues are release and the thought is scar tissue grows in to prevent this from constricting in the future. Since it’s been several decades should not happen again. If you have enough fatty tissue then yes you could be a good candidate for a fat transfer along with the breast lift. Therefore you should seek a consultation with a few board-certified plastic surgeons and go with what you feel most comfortable with. Best of luck and hope this information helps
- Dr. Roger Tsai  @DrRogerTsai

Board Certified Plastic Surgeon

The smaller the implant and the less the amount of time it has been since placement, the greater the chance the breasts will return to their preoperative state. It is very difficult to predict breast size following explant b/c breast implants and weight fluctuations over time tend to thin tissues, cause a decrease in size, and create more droop.The recovery period following breast implant removal or capsulectomy because of the ruptured silicone implants will vary from one patient to another; but on average, most patients will recover within one to two weeks.  It may take months for the breast to return to their former state. This will give you and your PS time to determine what type of breast lift is needed.It is unreasonable to believe that fat grafting no matter how optimally performed can achieve more than 1 cup size.  3/4 cup size increase is about average for one fat transfer procedure.  My experience has been that each subsequent surgery results in smaller improvements.

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.  
Best Wishes,Gary Horndeski, M.D.

Thank you for sharing. Tuberous breast should be corrected after the previous procedures. The amount of breast lifting and fat grafting will depend on how much breast envelope quality and fat as well as the fat that can be harvested for potential filling. See your local board certified plastic surgeon to have a proper complete consultation! You will be better served. Best wishes!

Dear AZPATRIOT71,
it is hard to tell for sure without an examination. You probably won't have tuberous breasts after implants removal. 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

It is unlikely that your breasts would revert to a tuberous shape after implant removal.  I encourage you to discuss your goals with your surgeon.  Fat transfer does not produce the same look as implants.  You want to ensure that you are selecting the correct procedure to get the results you want.

Thank you for the question.  It is very likely, given that the tuberous/constricted breasts were corrected in the past, that the features of tuberous/constricted breasts will not be present after your breast implants are removed.
 Some general thoughts in this regard may be helpful to you:
As you can imagine, there are many variables involved when it comes to the aesthetic outcome achieved after breast implant removal.   Generally speaking, what your breasts will look like after explantation depends on several factors such as: the quality of skin elasticity (the better the elasticity the better the skin will bounce back), the size of the implants used (the larger the implant the more trouble you may have with redundant skin), and the amount of breast tissue present at this time (which may have changed since the time of your breast augmentation).
Life experience since your breast augmentation procedure, such as pregnancy or weight gain weight loss, will potentially influence the factors discussed above. If you take these factors into consideration and apply them to your specific circumstances you may get a good idea of what to expect after the implants are removed.
 Patience is definitely indicated after removal of breast implants; it will take many months/year for the skin to “bounce back” and for you to see the final appearance of the breasts.   In other words, it may take several months for swelling to completely resolve;  postoperative deformities may be more visible at that time.
In "borderline" cases where there is doubt whether breast lifting is necessary or not, I advise patients to undergo explantation only and to give their breasts the benefit of the doubt  before deciding whether breast lifting would be beneficial.  
I hope this helps. Best wishes.

As long as it has been, your tuberous breast shape has been corrected with the implants and stretching. Even if removed, you should not go back to your initial tuberous shape.  However, you will be smaller and deflated, and possibly sag. You might want to consider going smaller in size. I would suggest meeting with a board certified plastic surgeon and discussing your options.

No, your breasts have changed and it would be very unusual that that would return. However, you will probably not get the same size with fat grafting that you do now have with implants.