Will Removing my 650/700cc Sub Muscular Saline Mentors Help Reduce or Eliminate my Chronic Neck and Upper Thoracic Pain? (photo)

I have had large implants for about 10 years. They caused me no pain or discomfort until about 4 years ago after I was in an accident. since this time I have had chronic unrelenting neck sub scapular upper thoracic pain. I have had many teats treatments MRI's Xrays etc. The results are always nothing wrong except some straightening of my cervical spine. So my question is: I am preparing to explant in hopes of reducing/eliminating my pain. Is this wise or am I going through this for nothing?

Doctor Answers 9

Ultimate Breast Lift combined with Explant

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The photograph you provided shows you have very large implants that have descended and are pointing outward.  You would definitley benefit from implant removal and lifting your remaining breast tissue.  I recommend explantation with a new technique called The Ultimate Breast Lift.  This technique transfers the weight of the breast to the underlying pectoralis major muscle and helps relieve pain.  Your implants weigh approximately 3 lbs and this should improve your symptoms.

Best Wishes,

Gary Horndeski, M.D.

Texas Plastic Surgeon
4.6 out of 5 stars 230 reviews

Implant removal

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Unfortunately there is no way to know for sure if removing the implants will improve your symptoms.  However, I think the implants were much too large to begin with.  If you are truly miserable with the pain, only you can decide whether it is worth a try, realizing there is a good possibility of relief but no guarantee.  Good luck!

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 31 reviews

Previous History of Trauma, Large Implants, and Back Pain

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       WIth a history of trauma, the spine and pain issues may be helped with a reduction in breast implant size.  I am not sure that anyone can predict how much this pain can be improved with reduction in breast size.  It may be reasonable to perform a small reduction first to evaluate the effect, before committing yourself to something more dramatic, which may require a breast lift as well.

Breast implant removal

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This may or may not help.  Your pain is because of the accident not the implants, but the heavy implants might be making your pain worse.  There is no way to know for sure, unless you remove the implants.  Make sure you are wearing a proper bra with good support, and that you have good posture.  

Dennis Dass, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 185 reviews

Will Removing my 650/700cc Sub Muscular Saline Mentors Help Reduce or Eliminate my Chronic Neck and Upper Thoracic Pain?

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This is a damn if you do and damn if you don't issue. Very very hard to predict outcomes in this situation. 

Explantation for back / neck pain

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Unfortunately, I can't tell you that removing the implants will definitely take care of your pain.  The pain may be related to your accident alone.  If you want to have the implants removed that's fine but understand you will be very empty and sagging for some time and will probably want a lift with small implants about a year later when everything settles and softens.

Implants and neck and back pain

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Certainly large implants could impact your neck and back similarly as it occurs with naturally large breasted women.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Large breast implants and neck/back pain

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Verry large breasts naturally, or as a result of augmentation mammoplasty with large implants ( 500 ml or more) could put additional load on cervico-thorasic spine. It is our experience that reduction mammoplasty or reducing  implant sizes would definitley give some relief to the patients who have neck pain and back pains. Since there are many other factors ( such as trauma and changes in spine ) contributing to the frequency and severity of back pain,the degree of pain relief, after reducing implant size, could not be predicted. I suggest that you proceed with the operation as long as you lower your expectation. 

Will Removing my 650/700cc Sub Muscular Saline Mentors Help Reduce or Eliminate my Chronic Neck and Upper Thoracic Pain?

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There are women with large breasts whose symptoms of back and neck pain improve with breast reduction. No one can accurately predict the outcome in an individual case. The fact that the implants clearly caused no problems before your accident does make me a bit pessimistic that removing the implants will improve your symptoms. 

You are addressing plastic surgeons, whose only way of treating back pain is reducing breast size, so I am not sure you will get a response that truly reflects the realities of your situation. Your back specialist should also discuss this possibility with you. 

Thanks, best wishes. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon

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.