AutoAugmentation after explant with capsulectomy? (Photo)

Auto-augmentation would only provide a fraction of the volume you would lose from explantation. If your preference is to not have implants, fat grafting would provide greater volume. But even fat grafting will not restore the 450 cc volume loss. 

Auto-augmentation uses your own breast tissue in a breast lift procedure. Fat grafting would be more appropriate for you. After initial grafting at the time of explantation, you might need a subsequent grafting procedure to achieve more volume. Keep in mind neither would give you the appearance you have now with breast implants. 

Great question!  Because your native tissue only makes up approximately 10% of the beasts, there really isn't too much auto augmentation that can be done.  Basically instead of removing all the skin and tissue that you would normally do in a breast lift, only the top layer of the skin is removed and the remaining tissue is used to help provide volume.  However, this is not nearly enough to provide any type of fullness or perkiness to the breasts.  You could always try this first, and then possibly think about a smaller implant in the future, or you can consider fat transfer at the same time or later.  This is why implants are still very popular because its the only way to provide that upper breast fullness and projection that many patients desire.  Seek a consultation with a few board certified plastic surgeon and go with the one you feel most comfortable with.Best of luck and hope this information helps!- Dr. Roger Tsai  @DrRogerTsai
Board Certified Plastic Surgeon

I totally support your desire to have implants removed if you’ve had problems with them. When women mention auto augmentation they are usually thinking about fat, not usually skin. In either case I don’t think you can expect much volume so I advise against either method because it will not do much as far  as providing volume.

Thank you for your question and photo. Based on the information that you provided, you have a very thin rim of breast tissue around your implants (which make up 90% of your breast volume). I would advise you NOT to have a lift at the same time as your total capsulectomy and implant removal. Your risk of potential nipple necrosis is high. Why would you want to take that chance with an elective operation? I would do the explant and total capsulectomy, period. You could have a lift later ,if needed, or can have fat transfer into the breasts.I'm glad you are researching your options. As with any surgery, if it is done by an unqualified surgeon, horror stories are common.In your case, an auto augmentation will not help due to the lack of tissue that would be transferred superiorly. I'm glad that other surgeons use this technique, which I have been doing for my patients in the last 15 years. This does work in the right patient. Fat grafting works too in the right patient, and in your case, you will probably need more than one session to achieve a B/C cup.For your information, autoaugmentation of upper poles of the breasts and lipo 360 are not marketing terms. This might be considered "marketing" by the surgeons who do not have these powerful techniques in their armamentarium.See a board certified plastic surgeon experienced in this type of breast surgery and advanced body sculpting techniques to discuss the best long term options for you. Good luck.See enclosed web reference of explant and fat grafts to the breasts. The patient is 7 months postop, but now she's actually over two years. Breasts are soft, no lumps, pain. They look and feel normal. Same breast size. Also had VASER 360 degree lipo of her torso for fat collection.

If you are all implant, you will likely be disappointed with removal of you implants.  In my practice fat grafting has helped to restore some of the upper pole fullness that is lost with implant removal.Autoaugmentation is simply a lift that is performed and your own tissue is used.  That is pretty much the definition of a breast lift.  The skin in the lower portion of the breast is removed and the entire breast mound is placed into a higher location and the skin is redraped.  It really is more of a marketing term such as 360 lipo is.  I would recommend you see a board certified plastic surgeon to discuss your options.Hope that helps.

Dear Kathy101,
In case of breast augmentation you have an option to get implants or fat transfer. 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
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Just based on your photo, you don't appear to have much skin that would help rebuild your breasts. You might consider going with smaller implants. You do need to have donor fat for fat grafting.

I personally invented a version of this surgery and have dicsussed this on RS. No one else does this because I have not taught it to anyone. I am currently collecting my 6 years results and will publish it soon though. They are excellent and have totally changed my practice.That said, if you really are only 10% tissue, you may not have much to work with other than excess skin. That is the beauty of AAlift because that skin is saved and used, not thrown away as it is in most lifts. The average weight I remove per side is 10 grams which is about a teaspoon. The other issue is that your nipples are not low and most times you need a lift are to fix that. It might be best to do the removal and heal and see what you have. The lift can always be done later.