I have had saline implants for going on 12 years (150 and 250 cc respectively to treat asymmetry) that have contracture. I would like to get them removed and I’m afraid of contracture happening again (and them looking strange as I age), but am nervous as to how they’ll look when I remove them. I was around a 34B going to a 34C. I also have the asymmetry issue to resolve. Would fat transfer on one side resolve a 100-125 cc volume difference? Will weight loss restore the asymmetry?
Answer: Asymmetry Difficult Problem Without photos or an exam, based off your prompt - having implants for 12 years has likely created some atrophy of the breast tissue as well as some skin stretch leading to some decent from gravity over those years; which means removing the implants only would lead to deflated, more saggy breasts. This would mean you would need some type of lift to restore position and maybe move some remaining volume around to rebuild your breast mound - and yes, fat grafting is a great adjunct to creating more symmetry (but no two breasts are the same in anyone, so getting to be exactly symmetrical is not possible). And the amount to transfer depends on surgeon experience, the fat harvest (is it healthy good fat?), how you heal while the fat graft is trying to regrow into the areas its been grafted to (typically see around 30-50% survival in my experience) - so a lot of variables to assess to know how much to graft (usually you want to put more than less, even if you think the other breast is only 100-125 cc more in volume). Overall, this method you want to try is a good one since you want to remove your implants and capsule, and the likelihood of fat transfer causing capsular contracture in the future is very little to none. Fat necrosis, fat cysts, failure of fat graft survival are more common. Hope this helps.
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Answer: Asymmetry Difficult Problem Without photos or an exam, based off your prompt - having implants for 12 years has likely created some atrophy of the breast tissue as well as some skin stretch leading to some decent from gravity over those years; which means removing the implants only would lead to deflated, more saggy breasts. This would mean you would need some type of lift to restore position and maybe move some remaining volume around to rebuild your breast mound - and yes, fat grafting is a great adjunct to creating more symmetry (but no two breasts are the same in anyone, so getting to be exactly symmetrical is not possible). And the amount to transfer depends on surgeon experience, the fat harvest (is it healthy good fat?), how you heal while the fat graft is trying to regrow into the areas its been grafted to (typically see around 30-50% survival in my experience) - so a lot of variables to assess to know how much to graft (usually you want to put more than less, even if you think the other breast is only 100-125 cc more in volume). Overall, this method you want to try is a good one since you want to remove your implants and capsule, and the likelihood of fat transfer causing capsular contracture in the future is very little to none. Fat necrosis, fat cysts, failure of fat graft survival are more common. Hope this helps.
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February 28, 2025
Answer: Fat transfrer to fix asymmetry following removal of breast implants Thank you for your query. Asymmetric breast augmentation with autologous fat transfer will be a great way of improving the asymmetry of your breasts after the implants are removed. Please discuss your concerns with your plastic surgeon who can examine you and help you with making a decision. All the best!
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February 28, 2025
Answer: Fat transfrer to fix asymmetry following removal of breast implants Thank you for your query. Asymmetric breast augmentation with autologous fat transfer will be a great way of improving the asymmetry of your breasts after the implants are removed. Please discuss your concerns with your plastic surgeon who can examine you and help you with making a decision. All the best!
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January 14, 2025
Answer: Fat transfer Dear Phoebe McGee,
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January 14, 2025
Answer: Fat transfer Dear Phoebe McGee,
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January 10, 2025
Answer: Fat transfer Hello and thank you for your question.It can be difficult to predict how your breasts will look once the implants are removed, particularly if they have been in for an extended period of time. One of the advantages of saline implants is that they can be deflated prior to complete removal. This is a procedure that is easily done in the office under local anesthesia. I would typically then wait at least 4 to 6 weeks to allow the breast tissue to contract. This will give you a better idea of how your breasts will look with the implants removed. At the time of implant removal, your plastic surgeon would then have a better idea of areas that need to be fat grafted, which I think is an excellent option to correct breast asymmetry. I hope this helps. Good luck.
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January 10, 2025
Answer: Fat transfer Hello and thank you for your question.It can be difficult to predict how your breasts will look once the implants are removed, particularly if they have been in for an extended period of time. One of the advantages of saline implants is that they can be deflated prior to complete removal. This is a procedure that is easily done in the office under local anesthesia. I would typically then wait at least 4 to 6 weeks to allow the breast tissue to contract. This will give you a better idea of how your breasts will look with the implants removed. At the time of implant removal, your plastic surgeon would then have a better idea of areas that need to be fat grafted, which I think is an excellent option to correct breast asymmetry. I hope this helps. Good luck.
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January 7, 2025
Answer: Breasts Weight loss will probably do little for the asymmetry since not all women have equal sized breasts. Fat could be added to help balance out the difference. You may need more than one transfer. Do not try to lose weight after the transfer.
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January 7, 2025
Answer: Breasts Weight loss will probably do little for the asymmetry since not all women have equal sized breasts. Fat could be added to help balance out the difference. You may need more than one transfer. Do not try to lose weight after the transfer.
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