Deformed Breasts After Implant Removal? (photo)

375cc smooth silicone partial unders (Mentor, cohesive gel) placed 6 1/2 years ago, via transaxillary and small nipple incisions. Due to severe chest / back / neck / arm pain and symptoms of Fibro. / RA, I decided to have them removed. Explant was 4/3/2013, and results are hideous. Doc said my breasts would bounce back and didn't need a lift during consultation, now he's dismissive / vague. Sorry pictures are bad, but hope it's enough to get an idea. Please help me hang in there... Thanks.

Doctor Answers 8

Deformed Breasts After Implant Removal?

   If your breasts were tubular and had ptosis before the original implants were placed, then the breasts should look worse after 6.5 years following implant removal.  Allow at least 3 months for the breasts to heal and contract and then additional decisions can be made.  Breast implants over time tend to thin tissues and create more droop.  In addition, age tends to cause a decrease in size and additional droop.  If you need them revised, find a plastic surgeon with ELITE credentials who performs hundreds of breast augmentations and breast implant revisions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Unhappy after Removal of Breast Implants?

I am sorry to hear about the stressful experience after removal of breast implants. As you know, no one can (with any degree of certainty) predict exactly how a woman's breasts will look after removal of breast implants.  As a matter of fact, I think patients may have the best idea of what their breasts may end up looking like, given that they know what their breasts look like before having undergoing breast augmentation surgery.

 Nevertheless, at this point, your best/only option is patience...  Again, whether you will be pleased enough with the long-term outcome not to seek additional surgery remains to be seen.

 Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,498 reviews

Breast shape after implant removal

Your photos show that your natural breast size is quite small and your shape is somewhat "tubular". I suspect that when you are finally healed in another 3-6 months, your nipples will still be too low. There is a good chance that some type of revision will be required. In the meantime, though, as hard as it is, be patient and let your body complete the healing process.

Diana L. Elias MD

Diana L. Elias, MD
Saint Petersburg Plastic Surgeon
4.6 out of 5 stars 21 reviews

Implant removal and final breast shape

Being that you are only two weeks out it is hard to predict what the final appearance will look like.  I would have said the same thing before surgery. It is difficult to predict how they would respond.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Breast implant removal

I have two comments on this situation.

First, since you are less than two weeks out, you need to give this several months to see your final result. Much will depend on the natural elasticity of your breast envelope and healing. I would give this at least 3-6 months before you do anything. In my experience it is difficult to predict who may/may not need a mastopexy following removal of implants. 

Next, for other readers out there, this whole issue of collegen vascular disease from silicone gel implants has been evaluated and there is no credible evidence that gel implants cause collegen vascular disease.

Jack Peterson, MD
Topeka Plastic Surgeon
4.5 out of 5 stars 40 reviews

Breast Implant Explant

You had the breast implants for 6 years, there is some stretching of the skin, there is 6 years of aging. Wit all that there is no way one can oredict what will be the shape of the breast after explant of the breast implant. Your doctor can guess, but it depends on your skin, and the amount of skin stretch and the aging process, as well as if you had any weight gain?loss, prgnancies and so no. With removal of the implants, some of the skin will retract in the first 6-12 weeks. Then you may need a breast lift,

Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 reviews

Wait 6 months, then evaluate progress.

Your picture suggests bilateral breast hypoplasia, breast ptosis, and what appears to be a tubular breast deformity.Without preoperative pictures, it’s hard to know how much sag was actually present before your original breast augmentation.
It’s always difficult to predict how the breast will react to implant removal.In some cases, minimal sag will develop while in other cases, severe sag may occur necessitating breast lift surgery.
Unfortunately, it takes three to six months for the breasts to stabilize after implant removal.It’s therefore important to wait at least six months before proceeding with breast lift surgery.
During this period, it’s important that you maintain close contact with your plastic surgeon.Your surgeon should be able to evaluate your progress and formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Deformed Breasts After Implant Removal?

These photos illustrate how unpredictable the outcome of implant removal can be. I am not sure what advice I might have given before surgery, but I do agree that doing a lift at the time would not have been something I would have urged. 

It would be helpful to have seen before surgery photos. The current appearance is similar to that of a patient with tuberous breast deformity, and your description of pre-op status does not sound like what you have today. 

It is early, and there really are no options to do anything before letting the tissues heal over the next 3 months or so. 

It may be that some sort of lift will be helpful, but it is also likely that some sort of volume increase will be a consideration--either implants or fat grafting. 

Stay in touch with your surgeon. All the best.

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.